A 72 year old man with known chronic kidney disease stage 3 presents with serum potassium 6.5 mmol/L, ECG showing peaked T waves. He is otherwise haem...

Question

A 72 year old man with known chronic kidney disease stage 3 presents with serum potassium 6.5 mmol/L, ECG showing peaked T waves. He is otherwise haemodynamically stable. What is the most appropriate immediate treatment?

Accepted Answer

Administer intravenous calcium gluconate to stabilise the myocardium

Answer

Start oral sodium polystyrene sulfonate only

Answer

Stop his ACE inhibitor and recheck potassium in a week

Answer

Observe without intervention because he is stable

Answer

Give loop diuretic only

ca-mccqe1 MCQ (SBA): Hyperkalaemia

A 72 year old man with known chronic kidney disease stage 3 presents with serum potassium 6.5 mmol/L, ECG showing peaked T waves. He is otherwise haemodynamically stable. What is the most appropriate immediate treatment?