A 65-year-old man with known stage 3 chronic kidney disease has a serum potassium of 6.5 mmol/L on routine bloods, confirmed on repeat. ECG shows tall...

Question

A 65-year-old man with known stage 3 chronic kidney disease has a serum potassium of 6.5 mmol/L on routine bloods, confirmed on repeat. ECG shows tall peaked T waves. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous Calcium Gluconate and nebulised Salbutamol, followed by intravenous insulin with glucose

Answer

Oral Calcium resonium only

Answer

Stop his ACE inhibitor and repeat potassium in 1 week

Answer

Arrange outpatient renal clinic review

Answer

Give intravenous Sodium bicarbonate alone

uk-plab-1 MCQ (SBA): Acute severe hyperkalaemia

A 65-year-old man with known stage 3 chronic kidney disease has a serum potassium of 6.5 mmol/L on routine bloods, confirmed on repeat. ECG shows tall peaked T waves. What is the most appropriate immediate treatment?