Question 115 · LDEK · Neurological and metabolic emergencies
Select the correct emergency management of hyperkalaemia in patients with serum [K⁺] levels ≥6.5 mmol/L:
- A. 12-lead ECG.
- B. intravenous (IV) administration of a 10% calcium chloride 10 mL.
- C. intravenous (IV) administration of a 20% glucose 125 mL with 10 units of insulin within 15-30 minutes.
- D. administration of nebulised salbutamol 10-20 mg.
- E. all the answers are correct.
Hint
Recall the ERC steps for severe hyperkalaemia: protect the heart, shift potassium into cells, then remove it.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Emergency medicine
- Reversible causes of cardiac arrest (so-called 4H’s and 4T’s) do not include:
- A 53-year-old woman with a core body temperature of 31°C had a cardiopulmonary arrest. The correct management involves cardiopulmonary resuscitation…
- Which of the following is not recommended in a 73-year-old woman with a heatstroke?
- Select the false statement regarding a 70-year-old man with hemodynamic instability and tension pneumothorax:
- The reversible causes of cardiac and respiratory arrest include:
- The symptoms of presyncope do not inclue: