A 70-year-old man on ICU develops acute hyperkalaemia (potassium 7.2 mmol/L) with peaked T waves on ECG. He is anuric. What is the correct sequence of...

Question

A 70-year-old man on ICU develops acute hyperkalaemia (potassium 7.2 mmol/L) with peaked T waves on ECG. He is anuric. What is the correct sequence of immediate medical management?

Accepted Answer

Calcium gluconate 10 mL of 10% IV over 10 minutes first, then insulin-dextrose (10 units actrapid in 50 mL 50% glucose), then nebulised salbutamol 10-20 mg

Answer

Insulin-dextrose first, then calcium gluconate

Answer

Nebulised salbutamol first, then calcium gluconate

Answer

IV sodium bicarbonate 8.4% 50 mL first

Answer

Oral calcium resonium 15 g first

uk-fficm MCQ (SBA): Hyperkalaemia

A 70-year-old man on ICU develops acute hyperkalaemia (potassium 7.2 mmol/L) with peaked T waves on ECG. He is anuric. What is the correct sequence of immediate medical management?