Question

A 55-year-old woman with chronic kidney disease (eGFR 28 mL/min/1.73 m²) presents with potassium 6.7 mmol/L, peaked T waves on ECG and normal blood pressure. What is the MOST appropriate immediate treatment?

Accepted Answer

Intravenous calcium gluconate and nebulised salbutamol, plus insulin with dextrose

Answer

Oral sodium polystyrene sulfonate

Answer

Loop diuretic only

Answer

Immediate haemodialysis without temporising measures

Answer

No treatment; repeat potassium in 6 hours

Practice question

A 55-year-old woman with chronic kidney disease (eGFR 28 mL/min/1.73 m²) presents with potassium 6.7 mmol/L, peaked T waves on ECG and normal blood pressure. What is the MOST appropriate immediate treatment?