A 58-year-old man with chronic kidney disease presents with weakness. His serum potassium is 6.8 mmol/L. ECG shows peaked T waves and widening of the ...

Question

A 58-year-old man with chronic kidney disease presents with weakness. His serum potassium is 6.8 mmol/L. ECG shows peaked T waves and widening of the QRS complex. According to advanced life support principles, what is the most appropriate immediate treatment?

Accepted Answer

Intravenous calcium gluconate

Answer

Oral sodium polystyrene sulfonate only

Answer

Intravenous normal saline without other therapy

Answer

Intravenous insulin and dextrose only

Answer

Observation and repeat potassium in 6 hours

ca-mccqe1 MCQ (SBA): Hyperkalaemia

A 58-year-old man with chronic kidney disease presents with weakness. His serum potassium is 6.8 mmol/L. ECG shows peaked T waves and widening of the QRS complex. According to advanced life support principles, what is the most appropriate immediate treatment?