A 59-year-old with severe hyperkalemia (K+ 7.1 mEq/L) and ECG showing wide QRS and sine-wave morphology is confused. What is the immediate next step?...

Question

A 59-year-old with severe hyperkalemia (K+ 7.1 mEq/L) and ECG showing wide QRS and sine-wave morphology is confused. What is the immediate next step?

Accepted Answer

IV calcium chloride/gluconate for membrane stabilization

Answer

Nebulized albuterol only

Answer

IV furosemide immediately

Answer

Oral sodium polystyrene sulfonate

Answer

Start hemodialysis without temporizing therapy

us-abem MCQ (SBA): Hyperkalemia with ECG Changes