A 70-year-old man with chronic kidney disease presents with muscle weakness. ECG shows tall peaked T waves. Serum potassium is 7.0 mmol/L. What is the...

Question

A 70-year-old man with chronic kidney disease presents with muscle weakness. ECG shows tall peaked T waves. Serum potassium is 7.0 mmol/L. What is the most appropriate immediate treatment?

Accepted Answer

IV calcium gluconate

Answer

Oral sodium polystyrene sulfonate only

Answer

Stop ACE inhibitor and review in a week

Answer

No treatment is required until potassium exceeds 8.0 mmol/L

Answer

High-dose loop diuretic alone

au-amc MCQ (SBA): Hyperkalaemia with ECG changes

A 70-year-old man with chronic kidney disease presents with muscle weakness. ECG shows tall peaked T waves. Serum potassium is 7.0 mmol/L. What is the most appropriate immediate treatment?