Question

A 58 year old man with known chronic kidney disease stage 4 presents with hyperkalaemia of 6.8 mmol/L and ECG changes showing tall peaked T waves. He is haemodynamically stable. According to NICE acute kidney injury guidance, what is the immediate priority in managing his hyperkalaemia?

Accepted Answer

Start intravenous calcium gluconate to stabilise the myocardium

Answer

Administer intravenous insulin with glucose and arrange dialysis within 24 hours

Answer

Give oral calcium resonium only

Answer

Restrict dietary potassium and repeat blood tests the next day

Answer

Withhold Ramipril and recheck potassium in a week

Practice question

A 58 year old man with known chronic kidney disease stage 4 presents with hyperkalaemia of 6.8 mmol/L and ECG changes showing tall peaked T waves. He is haemodynamically stable. According to NICE acute kidney injury guidance, what is the immediate priority in managing his hyperkalaemia?