A 61-year-old with CKD stage 3b (eGFR 37) and hypertension on ramipril has persistent K⁺ 5.9 mmol/L without ECG changes. Initial community management?...

Question

A 61-year-old with CKD stage 3b (eGFR 37) and hypertension on ramipril has persistent K⁺ 5.9 mmol/L without ECG changes. Initial community management?

Accepted Answer

Start sodium zirconium cyclosilicate and review ACEi necessity

Answer

Stop ramipril and repeat K⁺ urgently

Answer

Administer IV insulin/dextrose

Answer

Calcium gluconate IV

Answer

Nebulised salbutamol

mrcp part 1 MCQ (SBA): Chronic hyperkalaemia (CKD) management

A 61-year-old with CKD stage 3b (eGFR 37) and hypertension on ramipril has persistent K⁺ 5.9 mmol/L without ECG changes. Initial community management?