Question

A 66-year-old man with stage 3 CKD (eGFR 45 mL/min/1.73 m^2) and hypertension is taking ramipril and amlodipine. Potassium is 5.9 mmol/L and ECG shows tall peaked T waves. What is the most appropriate immediate treatment?

Accepted Answer

Administer intravenous calcium gluconate

Answer

Stop ramipril only and recheck potassium in one week

Answer

Start oral sodium polystyrene sulfonate only

Answer

Give intravenous frusemide only

Answer

No treatment is required if asymptomatic

Practice question

A 66-year-old man with stage 3 CKD (eGFR 45 mL/min/1.73 m^2) and hypertension is taking ramipril and amlodipine. Potassium is 5.9 mmol/L and ECG shows tall peaked T waves. What is the most appropriate immediate treatment?