Question

A 65-year-old with severe hyperkalemia (K⁺ 7.2 mEq/L) and ECG with wide QRS requires urgent therapy. Which sequence is appropriate?

Accepted Answer

Calcium chloride or gluconate IV first, then insulin with glucose, plus β‑agonist and measures to remove K⁺

Answer

Insulin/glucose first, then calcium

Answer

Kayexalate only

Answer

Dialysis only

Answer

Bicarbonate alone for all cases

Practice question

A 65-year-old with severe hyperkalemia (K⁺ 7.2 mEq/L) and ECG with wide QRS requires urgent therapy. Which sequence is appropriate?