A 70-year-old man with chronic kidney disease presents with tiredness and polyuria. Bloods show sodium 139 mmol/L, potassium 6.3 mmol/L, urea 18 mmol/...

Question

A 70-year-old man with chronic kidney disease presents with tiredness and polyuria. Bloods show sodium 139 mmol/L, potassium 6.3 mmol/L, urea 18 mmol/L, creatinine 260 µmol/L and bicarbonate 19 mmol/L. ECG shows tall peaked T waves. What is the most appropriate immediate treatment for his hyperkalaemia?

Accepted Answer

Intravenous Calcium gluconate

Answer

Oral Sodium polystyrene sulfonate

Answer

Intravenous 0.9% sodium chloride only

Answer

Oral loop diuretic

Answer

Observation and repeat potassium in 6 hours

uk-plab-1 MCQ (SBA): Hyperkalaemia with ECG changes