Full 2L QBank
Medicine ECG and Arrhythmias 1 a507ec56

A 50-year-old diabetic patient is feeling unwell. On workup, his serum creatinine= 5.0 mg% and blood urea= 125 mg%. Urine MICRAL test is positive. Which of the following will be useful for this patient?

A
Diuretics
B
Cardio-selective beta blocker
C
ACE inhibitor
D
Amiodarone
High-Yield Explanation
P waves -absent with bizarre wide complex qRS in lead V4, V5,and V6 Tall tented T waves which are seen with hyperkalemia, are present in all the leads. The patient is a diabetic with deranged RFT. Pt. suffering from CKD stage 4-5--> hyperkalemia-Diastolic arrest Hyperkalemia in CKD patients responds to: 1. Dietary restriction of potassium with use of kaliuretic diuretics 2. Potassium-binding resins like calcium resonium and sodium polystyrene 3. Intractable hyperkalemia requires dialysis.

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