A 70-year-old man with CKD stage 3b (eGFR 32 mL/min/1.73 m²) and diabetes presents with serum potassium 6.7 mmol/L, ECG showing peaked T waves and wid...

Question

A 70-year-old man with CKD stage 3b (eGFR 32 mL/min/1.73 m²) and diabetes presents with serum potassium 6.7 mmol/L, ECG showing peaked T waves and widened QRS complexes. What is the most appropriate immediate management?

Accepted Answer

Intravenous calcium gluconate

Answer

Intravenous frusemide only

Answer

Oral sodium polystyrene sulfonate only

Answer

Stop his ACE inhibitor and recheck potassium in 24 hours

Answer

Haemodialysis without any temporising measures

au-amc MCQ (SBA): Severe hyperkalaemia

A 70-year-old man with CKD stage 3b (eGFR 32 mL/min/1.73 m²) and diabetes presents with serum potassium 6.7 mmol/L, ECG showing peaked T waves and widened QRS complexes. What is the most appropriate immediate management?