Nausea in Medicine / Internal Medicine — 55yo Man | Nephrology | SMLE Q#11507
SMLE Question #11507
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 55-year-old man presents to the emergency department with nausea, pallor, and lethargy. He has no significant past medical history and takes no regular medications. Examination is otherwise unremarkable. Blood tests show hyperkalaemia with metabolic acidosis and impaired renal function. ECG shows tall, peaked T waves with no QRS widening or bradyarrhythmia. What is the most appropriate initial management?
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