A 69-year-old man with stage 4 chronic kidney disease (eGFR 18 mL/min/1.73 m²) is admitted with a serum potassium of 6.8 mmol/L and tall peaked T wave...

Question

A 69-year-old man with stage 4 chronic kidney disease (eGFR 18 mL/min/1.73 m²) is admitted with a serum potassium of 6.8 mmol/L and tall peaked T waves on ECG. He is haemodynamically stable. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous Calcium gluconate followed by insulin and dextrose

Answer

Oral Sodium polystyrene sulfonate

Answer

Increase dietary potassium intake

Answer

Start oral Sodium bicarbonate alone

Answer

No specific treatment is needed

uk-plab-1 MCQ (SBA): Hyperkalaemia

A 69-year-old man with stage 4 chronic kidney disease (eGFR 18 mL/min/1.73 m²) is admitted with a serum potassium of 6.8 mmol/L and tall peaked T waves on ECG. He is haemodynamically stable. What is the most appropriate immediate treatment?