Q:

A patient with renal failure has serum K+ 7.5, raised creatinine and broad complex tachycardia. What is the most appropriate management?

waelhammad
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2022-11-02
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A patient with renal failure has serum K+ 7.5, raised creatinine and broad complex tachycardia.

What is the most appropriate management?

  1. Calcium gluconate
  2. Sodium bicarbonate
  3. Dialysis
  4. Dialysis
  5. Sotalol
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waelhammad
2022-11-02
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The key is A. Calcium gluconate. [Calcium gluconate don’t shift K+ to cell or reduce potassium level

but it prevents arrythmogenic action of raised K+ till definitive measure is taken].

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