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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.

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oruptodate· OR· item f0_3_53

OR calcium gluconate IV 30 to 60 mL of 10 percent solution Vasopressors (eg, epinephrine) can be used for hypotension High-dose insulin and glucose: Bolus of 1 unit/kg IV of regular, short-acting insulin, followed by Continuous infusion of 0.5 units/kg per hour IV; titrate infusion upwards until hypotension corrected or dose reaches 2 units/kg per hour Intravenous lipid emulsion (20 percent solution): give 1.5 mL/kg over 2 minutes, followed by 1.5 mL/kg infusion over 60 minutes Other potential treatments include: sodium bicarbonate (eg, prolonged QRS), magnesium (ventricular dysrhythmia), intraaortic balloon pump, temporary transvenous pacing, and hemodialysis