A 55-year-old man with long-standing hypertension presents with lethargy and muscle weakness. ECG shows peaked T waves. Serum potassium is 6.8 mmol/L ...

Question

A 55-year-old man with long-standing hypertension presents with lethargy and muscle weakness. ECG shows peaked T waves. Serum potassium is 6.8 mmol/L and creatinine 220 µmol/L. Which is the most important immediate treatment to reduce the risk of life-threatening arrhythmia?

Accepted Answer

Intravenous calcium gluconate

Answer

Intravenous insulin and glucose infusion

Answer

Nebulised salbutamol

Answer

Oral sodium polystyrene sulfonate

Answer

Haemodialysis

au-acem MCQ (SBA): Severe hyperkalaemia

A 55-year-old man with long-standing hypertension presents with lethargy and muscle weakness. ECG shows peaked T waves. Serum potassium is 6.8 mmol/L and creatinine 220 µmol/L. Which is the most important immediate treatment to reduce the risk of life-threatening arrhythmia?