A 63-year-old man with end-stage renal disease presents with severe hyperkalaemia (K 7.1 mmol/L) and peaked T waves on ECG. He is drowsy but protectin...

Question

A 63-year-old man with end-stage renal disease presents with severe hyperkalaemia (K 7.1 mmol/L) and peaked T waves on ECG. He is drowsy but protecting his airway. According to standard indications for urgent renal replacement therapy, which of the following is the most appropriate immediate action?

Accepted Answer

Arrange urgent dialysis after stabilising with intravenous calcium and temporising measures

Answer

Observe and repeat potassium level in 6 hours

Answer

Start oral sodium polystyrene sulfonate only

Answer

Give furosemide and reassess the next day

Answer

Refer for outpatient dialysis assessment

ca-rcpsc-im MCQ (SBA): Hyperkalaemia indication for dialysis