A 60-year-old man on ICU develops acute severe hyperkalaemia (K+ 7.8 mmol/L) refractory to standard medical management (calcium gluconate, insulin-dex...

Question

A 60-year-old man on ICU develops acute severe hyperkalaemia (K+ 7.8 mmol/L) refractory to standard medical management (calcium gluconate, insulin-dextrose, salbutamol). He has anuric AKI. ECG shows sinusoidal pattern approaching cardiac arrest. CRRT is not immediately available (machine malfunction). What emergency intervention can be used?

Accepted Answer

Peritoneal dialysis catheter insertion and commence peritoneal dialysis as emergency potassium removal

Answer

Oral calcium resonium and wait

Answer

IV sodium polystyrene sulfonate

Answer

Repeat insulin-dextrose only

Answer

Accept the hyperkalaemia and prepare for cardiac arrest

uk-fficm MCQ (SBA): Refractory Hyperkalaemia - Emergency PD