A 70-year-old man with CKD stage 4 (eGFR 20 mL/min/1.73 m²) presents with potassium 6.3 mmol/L, peaked T waves on ECG and mild weakness. According to ...

Question

A 70-year-old man with CKD stage 4 (eGFR 20 mL/min/1.73 m²) presents with potassium 6.3 mmol/L, peaked T waves on ECG and mild weakness. According to emergency management principles, what is the most appropriate immediate therapy?

Accepted Answer

IV calcium gluconate followed by insulin with dextrose and consideration of definitive potassium removal

Answer

Nebulised salbutamol alone

Answer

Oral sodium polystyrene sulfonate only

Answer

Stop ACE inhibitor and recheck potassium in 24 hours

Answer

No treatment is required until potassium exceeds 7.0 mmol/L

ca-mccqe1 MCQ (SBA): Severe hyperkalaemia emergency management

A 70-year-old man with CKD stage 4 (eGFR 20 mL/min/1.73 m²) presents with potassium 6.3 mmol/L, peaked T waves on ECG and mild weakness. According to emergency management principles, what is the most appropriate immediate therapy?