Question

A 67-year-old man on Ramipril for hypertension is found to have serum potassium 6.8 mmol/L and ECG showing tall peaked T waves. He is otherwise alert. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous calcium gluconate

Answer

Nebulised Salbutamol only

Answer

Oral calcium resonium only

Answer

Stop Ramipril and repeat potassium in 24 hours

Answer

Intravenous sodium bicarbonate alone

Practice question

A 67-year-old man on Ramipril for hypertension is found to have serum potassium 6.8 mmol/L and ECG showing tall peaked T waves. He is otherwise alert. What is the most appropriate immediate treatment?