Question

A 74-year-old man with end-stage renal disease (ESRD) on dialysis presents with hyperkalaemia (K+ of 6.5 mmol/L) and ECG changes. After starting IV calcium gluconate, which agent does NICE recommend to help shift potassium intracellularly?

Accepted Answer

IV insulin with glucose

Answer

Oral sodium bicarbonate

Answer

Inhaled salbutamol alone

Answer

IV furosemide

Answer

Sodium polystyrene sulfonate (Resonium)

Practice question

A 74-year-old man with end-stage renal disease (ESRD) on dialysis presents with hyperkalaemia (K+ of 6.5 mmol/L) and ECG changes. After starting IV calcium gluconate, which agent does NICE recommend to help shift potassium intracellularly?