A 71-year-old man with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m2) presents with generalised weakness. Serum potassium is 6.6 mmol/L, ECG ...

Question

A 71-year-old man with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m2) presents with generalised weakness. Serum potassium is 6.6 mmol/L, ECG shows tall peaked T waves. What is the most appropriate immediate treatment to stabilise the myocardium?

Accepted Answer

Intravenous calcium gluconate

Answer

Intravenous insulin and dextrose

Answer

Nebulised salbutamol

Answer

Intravenous sodium bicarbonate

Answer

Oral sodium polystyrene sulfonate

au-amc MCQ (SBA): Hyperkalaemia

A 71-year-old man with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m2) presents with generalised weakness. Serum potassium is 6.6 mmol/L, ECG shows tall peaked T waves. What is the most appropriate immediate treatment to stabilise the myocardium?