SAQ 846 – Renal – collapse with critical hyperkalaemia

A 67-year-old man is brought to ED by family after collapsing at home. His history includes dialysis-dependent chronic renal failure from diabetic nephropathy, hypertension, ischaemic heart disease and congestive cardiac failure.

His initial ED vital signs are shown below. An ECG is provided with this question.

Observation	Value
GCS	15
BP	80/50 mmHg
Pulse	80 bpm
RR	30/min
SpO2	90% on room air

List four specific point-of-care or bedside tests indicated in this patient and justify each test.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Bedside test</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> <tr> <td>4</td> <td></td> </tr> </tbody> </table> <p>

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List three diagnostic ECG abnormalities and state the unifying diagnosis.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>ECG abnormality</th> <th>Diagnosis</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 4

List three ways you would correct the abnormality suggested by the ECG and the treatment principle or goal for each.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Correct by: drug/dose or method</th> <th>Treatment principle or goal</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 18

Percentage: 0%