CTAS 1. A 74-year-old dialysis patient presents with weakness after missing dialysis. HR is 34, BP 86/52, and ECG shows a wide QRS sine-wave pattern.

Question

CTAS 1. A 74-year-old dialysis patient presents with weakness after missing dialysis. HR is 34, BP 86/52, and ECG shows a wide QRS sine-wave pattern. Potassium is reported as 8.1 mmol/L. IV access and cardiac monitoring are in place. What is the most appropriate next step?

Accepted Answer

Give IV calcium immediately

Answer

Wait for repeat potassium

Answer

Give nebulized salbutamol first

Answer

Begin oral sodium polystyrene

Answer

Administer IV furosemide

Hyperkalaemic bradycardia — RCPSC EM MCQ

CTAS 1. A 74-year-old dialysis patient presents with weakness after missing dialysis. HR is 34, BP 86/52, and ECG shows a wide QRS sine-wave pattern. Potassium is reported as 8.1 mmol/L. IV access and cardiac monitoring are in place. What is the most appropriate next step?