A 73-year-old man with chronic kidney disease has weakness and collapses. ECG shows broad QRS complexes with tall tented T waves, pulse 38/min and

Question

A 73-year-old man with chronic kidney disease has weakness and collapses. ECG shows broad QRS complexes with tall tented T waves, pulse 38/min and systolic blood pressure 92 mmHg; he is conscious and IV access is present. What is the most appropriate drug/dose?

Accepted Answer

Calcium gluconate 10% 30 mL IV over 10 minutes

Answer

Furosemide 40 mg orally

Answer

Amiodarone 300 mg IV bolus

Answer

Adenosine 6 mg rapid IV bolus

Answer

GTN 400 micrograms sublingual

Hyperkalaemia with ECG changes — DipIMC MCQ

A 73-year-old man with chronic kidney disease has weakness and collapses. ECG shows broad QRS complexes with tall tented T waves, pulse 38/min and systolic blood pressure 92 mmHg; he is conscious and IV access is present. What is the most appropriate drug/dose?