During the management of a cardiac arrest in a patient with known end-stage renal disease who missed dialysis, the ECG shows tall, peaked T-waves, wid...

Question

During the management of a cardiac arrest in a patient with known end-stage renal disease who missed dialysis, the ECG shows tall, peaked T-waves, widened QRS complexes, and sinusoidal wave pattern. In addition to standard ALS, what is the priority treatment and in what order?

Accepted Answer

Calcium chloride 10% 10 mL IV first (to stabilise the myocardium), then insulin 10 units and 50 mL 50% glucose (to shift potassium intracellularly)

Answer

Insulin and dextrose first, then calcium chloride if rhythm does not improve

Answer

Sodium bicarbonate 8.4% 50 mL IV as the sole intervention

Answer

Nebulised salbutamol 10 mg is sufficient

Answer

IV fluids alone to dilute the potassium

uk-dipimc MCQ (SBA): Hyperkalaemia Treatment Sequence

During the management of a cardiac arrest in a patient with known end-stage renal disease who missed dialysis, the ECG shows tall, peaked T-waves, widened QRS complexes, and sinusoidal wave pattern. In addition to standard ALS, what is the priority treatment and in what order?