Question

A 62-year-old man with long-standing hypertension and CKD stage 3 presents with hyperkalaemia (K+ 6.4 mmol/L) and ECG showing peaked T waves. What is the most appropriate immediate treatment?

Accepted Answer

IV calcium gluconate

Answer

Oral sodium polystyrene sulfonate alone

Answer

Increase ACE inhibitor dose

Answer

No treatment; recheck potassium in 24 hours

Answer

Start a thiazide diuretic only

Practice question

A 62-year-old man with long-standing hypertension and CKD stage 3 presents with hyperkalaemia (K+ 6.4 mmol/L) and ECG showing peaked T waves. What is the most appropriate immediate treatment?