A 65-year-old man with known diabetic nephropathy has routine blood tests showing an eGFR of 28 ml/min/1.73m² and a serum potassium level of 5.8 mmol/...

Question

A 65-year-old man with known diabetic nephropathy has routine blood tests showing an eGFR of 28 ml/min/1.73m² and a serum potassium level of 5.8 mmol/L. His medications include Ramipril 10mg OD, Atorvastatin 40mg ON, and Metformin 1g BD. His ECG shows peaked T waves. What is the most appropriate immediate management step?

Accepted Answer

Administer IV Calcium Gluconate 10% 10ml

Answer

Stop Ramipril immediately

Answer

Administer IV Insulin (e.g., Actrapid) 10 units in 50ml 50% Dextrose

Answer

Arrange urgent haemodialysis

Answer

Administer oral Calcium Resonium 15g

mrcp part 1 MCQ (SBA): Hyperkalaemia