ModerateNephrologyHyperkalaemia with ECG changesuk-plab-1
A 70-year-old man with chronic kidney disease presents with tiredness and polyuria. Bloods show sodium 139 mmol/L, potassium 6.3 mmol/L, urea 18 mmol/L, creatinine 260 µmol/L and bicarbonate 19 mmol/L. ECG shows tall peaked T waves. What is the most appropriate immediate treatment for his hyperkalaemia?