Pharmacist QBANK, MOCK EXAM Question & Answer [PEBC, NAPLEX, FPGEE, OPRA, GPAT, USMLE, NCLEX]

[@tafadzwamarimo5708]

For the last question, I think C is the MOST appropriate Tx. Shift K intracellularly first using insulin relatively quickly, with glucose to prevent hypoglycemia. Patient is asymptomatic and otherwise stable. Admin IV Ca gluconate is indicated for severe cases with EVG features. Sodium polystyrene works slowly and is not best INITIAL option. Reducing K rich foods is fine for the long term. Thoughts ?

[@Beneficence1on1]

Agree with your point about using insulin. as a first pharmacological option to manage hyperkalemia. However, this can be a great option for IV infusion facilities. Oral potassium-binding resin can be an option for chronic long-term management of hyperkalemia. For severe hyperkalemia (K​+ >6.5 mmol/L), insulin must be administered as an IV bolus in conjunction with IV calcium Reference: Effect of various therapeutic approaches on plasma potassium and major regulating factors in terminal renal failure. Am J Med 1988;85(4):507-12.

[@Beneficence1on1]

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