A 70-year-old woman with CKD stage 3 is found to have a potassium of 6.7 mmol/L with ECG showing tall, peaked T waves and a shortened QT interval. She...

Question

A 70-year-old woman with CKD stage 3 is found to have a potassium of 6.7 mmol/L with ECG showing tall, peaked T waves and a shortened QT interval. She is haemodynamically stable. What is the most urgent immediate treatment?

Accepted Answer

Intravenous calcium gluconate

Answer

Intravenous insulin and dextrose

Answer

Nebulised salbutamol

Answer

Oral sodium polystyrene sulfonate

Answer

Urgent haemodialysis

ca-mccqe1 MCQ (SBA): Hyperkalaemia with ECG changes

A 70-year-old woman with CKD stage 3 is found to have a potassium of 6.7 mmol/L with ECG showing tall, peaked T waves and a shortened QT interval. She is haemodynamically stable. What is the most urgent immediate treatment?