A 72-year-old man with chronic kidney disease stage 4 (eGFR 20 mL/min/1.73 m²) presents with serum potassium 6.5 mmol/L and ECG showing peaked T waves...

Question

A 72-year-old man with chronic kidney disease stage 4 (eGFR 20 mL/min/1.73 m²) presents with serum potassium 6.5 mmol/L and ECG showing peaked T waves. What is the most appropriate immediate treatment priority?

Accepted Answer

Administer intravenous calcium gluconate

Answer

Restrict dietary potassium and recheck in one week

Answer

Start oral sodium polystyrene sulfonate only

Answer

Dialyse urgently without other measures

Answer

Stop ACE inhibitor and observe for 12 hours

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

A 72-year-old man with chronic kidney disease stage 4 (eGFR 20 mL/min/1.73 m²) presents with serum potassium 6.5 mmol/L and ECG showing peaked T waves. What is the most appropriate immediate treatment priority?