Question

A 65-year-old man with chronic kidney disease stage 4 is found to have hyperkalaemia (6.2 mmol/L). He is haemodynamically stable. According to NICE, which of the following is the most appropriate initial medical treatment?

Accepted Answer

IV insulin with glucose

Answer

IV sodium bicarbonate

Answer

Oral sodium polystyrene sulfonate (Kayexalate)

Answer

Emergency haemodialysis

Answer

Salbutamol nebulisation alone

Practice question

A 65-year-old man with chronic kidney disease stage 4 is found to have hyperkalaemia (6.2 mmol/L). He is haemodynamically stable. According to NICE, which of the following is the most appropriate initial medical treatment?