A 59-year-old man with long-standing type 2 diabetes and hypertension presents with a potassium level of 6.3 mmol/L on routine bloods. ECG shows tall,...

Question

A 59-year-old man with long-standing type 2 diabetes and hypertension presents with a potassium level of 6.3 mmol/L on routine bloods. ECG shows tall, peaked T waves. He is taking perindopril and spironolactone. What is the most appropriate first-line emergency treatment?

Accepted Answer

Give IV calcium gluconate

Answer

Give IV 10% dextrose without insulin

Answer

Give oral sodium polystyrene sulfonate only

Answer

Stop spironolactone and review in a week

Answer

Administer IV normal saline only

au-amc MCQ (SBA): Hyperkalaemia

A 59-year-old man with long-standing type 2 diabetes and hypertension presents with a potassium level of 6.3 mmol/L on routine bloods. ECG shows tall, peaked T waves. He is taking perindopril and spironolactone. What is the most appropriate first-line emergency treatment?