Electrolyte Imbalances · NCLEX Exam

A patient on adrenal insufficiency has hyperkalemia (6.0 mEq/L) with peaked T-waves. Which initial treatment may be given emergently?

  1. Oral potassium supplement
  2. IV calcium gluconate
  3. IV hypotonic saline
  4. Loop diuretic alone
Show answer and explanation

Correct answer: IV calcium gluconate

In severe hyperkalemia with ECG changes calcium gluconate stabilizes cardiac membranes before other treatments.

Difficulty: Hard Question 10 of 20

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