A dialysis patient has potassium 7.1 mmol/L, bradycardia, absent P waves and QRS widening. IV access is present. What is the first pharmacologic

Question

A dialysis patient has potassium 7.1 mmol/L, bradycardia, absent P waves and QRS widening. IV access is present. What is the first pharmacologic sequence?

Accepted Answer

Give IV calcium immediately, then insulin with dextrose while arranging urgent dialysis

Answer

Give insulin with dextrose first, then give IV calcium after the repeat potassium result

Answer

Give furosemide and isotonic fluid as definitive potassium removal despite anuria

Answer

Give sodium polystyrene sulfonate alone because dialysis patients cannot receive IV calcium

Answer

Give bicarbonate alone because ECG changes prove metabolic acidosis

Salicylate poisoning — RCPSC EM MCQ

A dialysis patient has potassium 7.1 mmol/L, bradycardia, absent P waves and QRS widening. IV access is present. What is the first pharmacologic sequence?