Question

A 76-year-old woman with CKD stage 4, diabetes and on diuretics presents with generalised weakness. ECG shows peaked T waves. Her potassium is 6.8 mmol/L and creatinine 280 µmol/L. According to emergency nephrology practice, what is the most urgent initial intervention?

Accepted Answer

IV calcium gluconate

Answer

IV insulin with dextrose only

Answer

Nebulised salbutamol only

Answer

Oral sodium polystyrene sulfonate

Answer

Loop diuretic bolus only

Practice question

A 76-year-old woman with CKD stage 4, diabetes and on diuretics presents with generalised weakness. ECG shows peaked T waves. Her potassium is 6.8 mmol/L and creatinine 280 µmol/L. According to emergency nephrology practice, what is the most urgent initial intervention?