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Cardiac · high-yield

Hyperkalemia? Stabilize the heart first.

Calcium gluconate before insulin/D50 or albuterol — it protects the myocardium and buys you time; it doesn’t lower the K⁺.

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Communication · new grad

SBAR in one breath.

Lead with the recommendation. “I need you to come see this patient” lands harder than a 90-second backstory.

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Med safety · never-mix

Never run calcium & ceftriaxone together.

They precipitate in the line — risky in neonates especially. Flush well or use a second lumen. A 10-second check beats a code.

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r/NewGradsr/CriticalCarer/EDr/NightShiftr/Pedsand more
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JM
@jordan_rn · Med-Surg
8 months in · 4h ago
r/NewGrads

My patient’s K⁺ came back at 6.8. What’s my actual first move?

Stable vitals, no chest pain, but the EKG has peaked T-waves. Real talk — most new grads miss this one.

Top answer verified by an educator
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