INS and Hyperkalemia: Hemostasis, intravenous fluids supplement, and blood transfusion are required to treat hypovolemic shock, and for hyperkalemia with definite diagnosis, calcium gluconate, insulin with glucose, sodium bicarbonate, or β2 adrenergic receptor agonist are recommended to reduce serum potassium quickly, followed by hemodialysis and kayexalate or enema (Gonzalez, 2005; Weisberg, 2008; Sever and Vanholder, 2013).