Question

A 70 year old man with chronic kidney disease stage 3 is found to have a serum potassium of 6.8 mmol per litre and new tall peaked T waves on ECG. He is haemodynamically stable. What is the first priority in his management?

Accepted Answer

Give intravenous calcium gluconate

Answer

Start oral calcium resonium only

Answer

Repeat the potassium after 6 hours

Answer

Give oral sodium bicarbonate alone

Answer

Stop his ACE inhibitor and review in clinic

Practice question

A 70 year old man with chronic kidney disease stage 3 is found to have a serum potassium of 6.8 mmol per litre and new tall peaked T waves on ECG. He is haemodynamically stable. What is the first priority in his management?