A 79-year-old woman in a care home with stage 4 chronic kidney disease presents with a potassium level of 6.7 mmol/L on routine bloods. ECG shows tall...

Question

A 79-year-old woman in a care home with stage 4 chronic kidney disease presents with a potassium level of 6.7 mmol/L on routine bloods. ECG shows tall peaked T waves. She is otherwise haemodynamically stable. What is the most appropriate immediate management?

Accepted Answer

Intravenous calcium gluconate, followed by insulin and dextrose

Answer

Oral calcium resonium only

Answer

Discharge with repeat bloods in 1 week

Answer

Start a thiazide diuretic alone

Answer

Oral sodium bicarbonate alone

uk-plab-1 MCQ (SBA): Acute hyperkalaemia

A 79-year-old woman in a care home with stage 4 chronic kidney disease presents with a potassium level of 6.7 mmol/L on routine bloods. ECG shows tall peaked T waves. She is otherwise haemodynamically stable. What is the most appropriate immediate management?