A 68-year-old woman with stage 4 chronic kidney disease (eGFR 20 mL/min/1.73 m²) is found to have a potassium level of 6.7 mmol/L with tall tented T w...

Question

A 68-year-old woman with stage 4 chronic kidney disease (eGFR 20 mL/min/1.73 m²) is found to have a potassium level of 6.7 mmol/L with tall tented T waves on ECG. She is otherwise haemodynamically stable. What is the most appropriate immediate treatment?

Accepted Answer

Administer IV Calcium Gluconate

Answer

Administer oral Calcium Resonium

Answer

Start haemodialysis immediately without other measures

Answer

Stop all medications and repeat potassium in 6 hours

Answer

Give IV 0.9% sodium chloride only

uk-plab-1 MCQ (SBA): Hyperkalaemia

A 68-year-old woman with stage 4 chronic kidney disease (eGFR 20 mL/min/1.73 m²) is found to have a potassium level of 6.7 mmol/L with tall tented T waves on ECG. She is otherwise haemodynamically stable. What is the most appropriate immediate treatment?