Question

A 63-year-old man with chronic kidney disease presents with serum potassium 6.8 mmol/L. ECG shows tall peaked T waves. He is haemodynamically stable. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous calcium gluconate

Answer

Calcium resonium orally

Answer

Insulin and dextrose infusion only

Answer

Sodium bicarbonate infusion only

Answer

No treatment unless potassium exceeds 7.5 mmol/L

Practice question

A 63-year-old man with chronic kidney disease presents with serum potassium 6.8 mmol/L. ECG shows tall peaked T waves. He is haemodynamically stable. What is the most appropriate immediate treatment?