Progressive Lethargy in Medicine / Internal Medicine — 62yo Man | Nephrology | SMLE Q#11847
SMLE Question #11847
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 62-year-old man with type 2 diabetes and stage 4 chronic kidney disease presents with progressive lethargy and fatigue for 2 days. He has hypertension treated with an ACE inhibitor and amlodipine. Examination suggests he is euvolemic, and urine output is maintained. ECG shows no abnormalities. What is the most appropriate immediate management of his hyperkalemia?
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