A 73-year-old with CKD and HFrEF on lisinopril develops hyperkalemia (K+ 6.9 mEq/L) with peaked T waves. First immediate therapy?...

Question

A 73-year-old with CKD and HFrEF on lisinopril develops hyperkalemia (K+ 6.9 mEq/L) with peaked T waves. First immediate therapy?

Accepted Answer

Insulin 10 units IV with 25 g dextrose plus IV calcium gluconate

Answer

Sodium polystyrene sulfonate only

Answer

Stop lisinopril only

Answer

Hemodialysis only in all cases

Answer

IV furosemide only

"emergency medicine" MCQ (SBA): Hyperkalemia