A 68-year-old man with CKD stage 4 presents with serum potassium 6.9 mmol/L, broad QRS complexes and peaked T waves on ECG. He is haemodynamically sta...

Question

A 68-year-old man with CKD stage 4 presents with serum potassium 6.9 mmol/L, broad QRS complexes and peaked T waves on ECG. He is haemodynamically stable. According to emergency care protocols, which is the most urgent first step in management?

Accepted Answer

Administer intravenous calcium gluconate

Answer

Administer oral sodium polystyrene sulfonate

Answer

Start oral sodium bicarbonate

Answer

Arrange urgent dialysis without any immediate medical therapy

Answer

Advise dietary potassium restriction only

au-amc MCQ (SBA): Life-threatening hyperkalaemia

A 68-year-old man with CKD stage 4 presents with serum potassium 6.9 mmol/L, broad QRS complexes and peaked T waves on ECG. He is haemodynamically stable. According to emergency care protocols, which is the most urgent first step in management?