A patient with severe hyperkalaemia and ECG changes receives intravenous calcium and insulin with glucose. What monitoring is essential after insulin ...

Question

A patient with severe hyperkalaemia and ECG changes receives intravenous calcium and insulin with glucose. What monitoring is essential after insulin treatment?

Accepted Answer

Serial blood glucose measurements because delayed hypoglycaemia can occur

Answer

Serial INR measurements because insulin produces delayed coagulopathy

Answer

Serial amylase measurements because insulin produces acute pancreatitis

Answer

Serial troponin measurements as the sole marker of potassium correction

Answer

Serial urine ketone measurements instead of repeating serum potassium

Hyperkalemia with ECG Changes — MRCP Part 1 MCQ

A patient with severe hyperkalaemia and ECG changes receives intravenous calcium and insulin with glucose. What monitoring is essential after insulin treatment?