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1. In acute, life threatening #hyperkalemia with #ECG changes, what do you think is the most appropriate order of management? 1) IV calcium, insulin & D50. 2) Consult nephrology for dialysis and place temporary dialysis catheter. 3) give IV loop diuretic. 4) Start K+ binder.
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2,1,3,4
1,4,3,2
1,3,2,4
4,3,1,2
2. 65 YO patient with PMH htn, T2D, DKD with UACR 1.2g/g. Meds: lisinopril 20mg QD. Pt adheres to low K+ diet. BP 142/80. sCr 2.0. sK 5.2. On exam, there's trace LE edema. How will you manage this patient’s potassium and need for increased RAASi?
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Make no changes, potassium is 5.2
Start chlorthalidone, recheck potassium, then up-titrate lisinopril
Start potassium binder
Restrict K+ in diet
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