Question

A 60-year-old woman with hypertension on an ACE inhibitor develops hyperkalaemia with serum potassium 6.5 mmol/L and peaked T waves on ECG. She is otherwise haemodynamically stable. What is the most appropriate immediate therapy?

Accepted Answer

Intravenous calcium gluconate

Answer

Intravenous furosemide

Answer

Oral sodium polystyrene sulfonate

Answer

Haemodialysis only

Answer

Stop ACE inhibitor and recheck potassium tomorrow

Practice question

A 60-year-old woman with hypertension on an ACE inhibitor develops hyperkalaemia with serum potassium 6.5 mmol/L and peaked T waves on ECG. She is otherwise haemodynamically stable. What is the most appropriate immediate therapy?