A 52-year-old man with stage 4 chronic kidney disease attends the emergency department complaining of weakness. ECG shows tall peaked T waves and a br...

Question

A 52-year-old man with stage 4 chronic kidney disease attends the emergency department complaining of weakness. ECG shows tall peaked T waves and a broad QRS complex. Serum potassium is 6.8 mmol/L. What is the single most important immediate intravenous medication?

Accepted Answer

Calcium gluconate 10 %, 10 mL intravenously

Answer

Insulin 10 units with 50 mL 50 % dextrose

Answer

Nebulised salbutamol 10 mg

Answer

Sodium bicarbonate 50 mmol IV

Answer

Furosemide 40 mg IV

mrcem sba MCQ (SBA): Hyperkalaemia

A 52-year-old man with stage 4 chronic kidney disease attends the emergency department complaining of weakness. ECG shows tall peaked T waves and a broad QRS complex. Serum potassium is 6.8 mmol/L. What is the single most important immediate intravenous medication?