Question

A 76-year-old woman with chronic kidney disease stage 4 presents with confusion. Labs: sodium 138 mEq per L, potassium 6.5 mEq per L, bicarbonate 18 mEq per L, BUN 80 mg per dL, creatinine 5.2 mg per dL. ECG shows peaked T waves. What is the most appropriate immediate management?

Accepted Answer

Administer oral sodium polystyrene sulfonate

Answer

Administer intravenous calcium gluconate

Answer

Start loop diuretic

Answer

Arrange outpatient nephrology referral

Answer

Begin low-potassium diet only

Practice question

A 76-year-old woman with chronic kidney disease stage 4 presents with confusion. Labs: sodium 138 mEq per L, potassium 6.5 mEq per L, bicarbonate 18 mEq per L, BUN 80 mg per dL, creatinine 5.2 mg per dL. ECG shows peaked T waves. What is the most appropriate immediate management?