A 63-year-old man with chronic kidney disease stage 3 is noted to have a serum potassium of 6.8 mmol/L. ECG shows broad QRS complexes and peaked T wav...

Question

A 63-year-old man with chronic kidney disease stage 3 is noted to have a serum potassium of 6.8 mmol/L. ECG shows broad QRS complexes and peaked T waves. He is otherwise haemodynamically stable. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous 10% Calcium gluconate

Answer

Intravenous 5% Dextrose alone

Answer

Oral Calcium Resonium only

Answer

Stop his ACE inhibitor and repeat bloods in 24 hours

Answer

Intravenous Frusemide only

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

A 63-year-old man with chronic kidney disease stage 3 is noted to have a serum potassium of 6.8 mmol/L. ECG shows broad QRS complexes and peaked T waves. He is otherwise haemodynamically stable. What is the most appropriate immediate treatment?