A 68-year-old man with CKD stage 4 (eGFR 20 mL/min/1.73 m²) presents with serum potassium 6.8 mmol/L, peaked T waves on ECG and no symptoms. According...

Question

A 68-year-old man with CKD stage 4 (eGFR 20 mL/min/1.73 m²) presents with serum potassium 6.8 mmol/L, peaked T waves on ECG and no symptoms. According to emergency management principles, what is the most appropriate immediate intervention?

Accepted Answer

Intravenous calcium gluconate

Answer

Oral sodium polystyrene sulfonate

Answer

Intravenous furosemide only

Answer

Advise low-potassium diet and repeat potassium tomorrow

Answer

Start oral sodium bicarbonate and recheck in a week

ca-mccqe1 MCQ (SBA): Severe hyperkalaemia

A 68-year-old man with CKD stage 4 (eGFR 20 mL/min/1.73 m²) presents with serum potassium 6.8 mmol/L, peaked T waves on ECG and no symptoms. According to emergency management principles, what is the most appropriate immediate intervention?