Question

A 63-year-old with CKD G3a and K⁺ 5.7 mEq/L on ACE inhibitor presents without ECG changes. First management?

Accepted Answer

Stabilize if ECG changes; otherwise shift K⁺ (insulin+dextrose) and consider potassium binders; address causes

Answer

Immediate dialysis for all K⁺ >5.5

Answer

Stop all RAAS blockade permanently without alternatives

Answer

No treatment

Answer

Calcium channel blocker reverses hyperkalemia

Practice question

A 63-year-old with CKD G3a and K⁺ 5.7 mEq/L on ACE inhibitor presents without ECG changes. First management?