A 68-year-old man with chronic kidney disease is admitted with pneumonia. His ECG shows tall tented T waves and widened QRS complexes. Serum potassium...

Question

A 68-year-old man with chronic kidney disease is admitted with pneumonia. His ECG shows tall tented T waves and widened QRS complexes. Serum potassium is 7.1 mmol/L. What is the single most important immediate treatment?

Accepted Answer

Intravenous Calcium Gluconate 10% followed by Insulin with Glucose

Answer

Nebulised Salbutamol alone

Answer

Oral Calcium Resonium

Answer

Commence haemodialysis as first step

Answer

Restrict dietary potassium and repeat the blood test in 6 hours

uk-plab-1 MCQ (SBA): Life-threatening hyperkalaemia

A 68-year-old man with chronic kidney disease is admitted with pneumonia. His ECG shows tall tented T waves and widened QRS complexes. Serum potassium is 7.1 mmol/L. What is the single most important immediate treatment?