A 66-year-old woman arrives as ESI 2 with weakness after missing dialysis. BP 154/86, HR 42. ECG shows peaked T waves and widening QRS; potassium is

Question

A 66-year-old woman arrives as ESI 2 with weakness after missing dialysis. BP 154/86, HR 42. ECG shows peaked T waves and widening QRS; potassium is 7.2 mEq/L. Which of the following is the most appropriate initial action?

Accepted Answer

Give IV calcium gluconate

Answer

Start insulin infusion without dextrose

Answer

Administer IV furosemide alone

Answer

Order repeat potassium before treatment

Answer

Give oral sodium polystyrene sulfonate

Life-threatening hyperkalemia — ABEM Board MCQ

A 66-year-old woman arrives as ESI 2 with weakness after missing dialysis. BP 154/86, HR 42. ECG shows peaked T waves and widening QRS; potassium is 7.2 mEq/L. Which of the following is the most appropriate initial action?