Published March 4, 2026 | Version v1
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"In the face of the shortage and possible discontinuation of crystalline insulin vials, what is the most favorable alternative for preparing dextrose–insulin solutions for the management of hyperkalemic patients? In which regimen are they recommended?"

Description

According to the available scientific evidence, the best alternative to the use of crystalline insulin in the treatment of hypercalcemia is the ultra–short-acting insulin lispro; since it provides the greatest amount of information regarding its efficacy (which shows no significant differences compared to crystalline insulin), its safety profile has been studied, and it is considered safer for patients with renal impairment.

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Frente al desabastecimiento y posible discontinuación de los viales de insulina cristalina, ¿Cuál es la alternativa más favorable para la preparación de soluciones de dextrosa-insulina para el manejo de paciente h.pdf