Q:

A 40 year old male with pre-existing glumerulonephritis having proteinuria and hematuria suddenly deteriorates and presents with oliguria and serum K+ 7.8mmol/L, urea 13mmol/L, Creat 342mmol/L, GFR 19mL/h. The best management would be?

waelhammad
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2022-11-01
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A 40 year old male with pre-existing glumerulonephritis having proteinuria and hematuria suddenly deteriorates and presents with oliguria and serum K+ 7.8mmol/L, urea 13mmol/L, Creat 342mmol/L, GFR 19mL/h. The best management would be? 

  1. Calcium supplement
  2. Calcium resonate enema 30g
  3. 10units insulin with 50% dextrose
  4. Nebulized salbutamol
  5. 10ml of 10% calcium gluconate
  6. Hemodialysis urgent
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waelhammad
2022-11-01
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The key is F. Hemodialysis urgent. [Next or most appropriate is E. 10ml of 10% calcium gluconate; but best or definitive treatment is hemodialysis]. 

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