A 60-year-old woman with advanced chronic kidney disease has a potassium level of 6.8 mmol per litre on admission and ECG changes of peaked T waves. W...

Question

A 60-year-old woman with advanced chronic kidney disease has a potassium level of 6.8 mmol per litre on admission and ECG changes of peaked T waves. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous calcium gluconate

Answer

Oral calcium supplements only

Answer

High-dose oral furosemide

Answer

Dietary potassium restriction alone

Answer

Stop ACE inhibitor and recheck in 24 hours only

uk-plab-1 MCQ (SBA): Hyperkalaemia

A 60-year-old woman with advanced chronic kidney disease has a potassium level of 6.8 mmol per litre on admission and ECG changes of peaked T waves. What is the most appropriate immediate treatment?