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sustained hyperkalemia may further lead to conduction blocks, ventricular fibrillation, and asystole.[20] Guidelines and expert opinion agree that anyone with a potassium level greater than 6.5 mmol/L should be urgently referred to the emergency department, but there are discrepancies regarding management of potassium levels between 6.0 and 6.5 mmol/L.[5,20-22] This range requires clinical judgment and contextualization of potassium values due to the multifactorial nature of outpatient measurements [Figure 1]

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Valproate was first used as an anticonvulsant to treat epilepsy but was subsequently discovered to also have mood-stabilising effects [177], which may be related to bipolar disorder and epilepsy sharing features, such as their episodic nature and being risk factors for one another [178]