Question

A 68-year-old man with chronic kidney disease presents with weakness and palpitations. ECG shows peaked T waves, widened QRS and sine-wave pattern. Serum potassium is 7.2 mmol/L. What is the most urgent treatment?

Accepted Answer

Intravenous calcium gluconate

Answer

Intravenous insulin and dextrose

Answer

Oral sodium polystyrene sulfonate

Answer

Loop diuretic therapy

Answer

Haemodialysis in 24 hours

Practice question

A 68-year-old man with chronic kidney disease presents with weakness and palpitations. ECG shows peaked T waves, widened QRS and sine-wave pattern. Serum potassium is 7.2 mmol/L. What is the most urgent treatment?