skip to main content

EPS Duration Risk Factor — ESENeph MCQ

Instant feedback + full explanation. One question, done properly.

HardPeritoneal DialysisEPS Duration Risk FactorESENeph

A patient with CKD presents with potassium 6.9 mmol/L, broad QRS complexes and progressive weakness. Patiromer is available in the department. What is the correct place of patiromer in the immediate plan?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Give standard emergency therapy now; patiromer is too slow for ECG toxicity

Explanation lettering: C = shown as A · A = shown as C · E = shown as D · D = shown as E

A is correct. The patiromer SmPC states that onset occurs four to seven hours after administration and that it must not replace emergency treatment for life-threatening hyperkalaemia. ECG toxicity requires immediate standard emergency therapy. Patiromer may have a later role in sustained control, but escalating or repeating it acutely does not provide membrane stabilisation.

Reference: Veltassa 16.8 g powder for oral suspension SmPC: https://www.medicines.org.uk/emc/product/10416/smpc