A 74-year-old woman with chronic kidney disease presents with muscle weakness. Her ECG shows tall peaked T waves and widened QRS complexes. Blood test...

Question

A 74-year-old woman with chronic kidney disease presents with muscle weakness. Her ECG shows tall peaked T waves and widened QRS complexes. Blood tests confirm a serum potassium of 7.0 mmol/L. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous calcium gluconate 10 mL of 10% solution over 5–10 minutes

Answer

Intravenous 5% dextrose alone

Answer

Oral sodium polystyrene sulfonate (calcium resonium)

Answer

Oral loop diuretic therapy with Frusemide

Answer

Commence haemodialysis without any other measures

uk-plab-1 MCQ (SBA): Severe hyperkalaemia

A 74-year-old woman with chronic kidney disease presents with muscle weakness. Her ECG shows tall peaked T waves and widened QRS complexes. Blood tests confirm a serum potassium of 7.0 mmol/L. What is the most appropriate immediate treatment?