A 56-year-old woman with chronic kidney disease Stage 4 presents with diffuse muscle weakness and palpitations. Vital signs: BP 158/92, HR 104, RR 18, SpO2 98% on room air. ECG shows peaked T waves and prolonged PR interval. Serum potassium is 6.8 mEq/L, bicarbonate 19 mEq/L, creatinine 3.2 mg/dL. Urine output remains normal. She receives intravenous calcium gluconate. Which of the following best describes the primary purpose of this treatment?
- A)Enhance urinary potassium excretion
- B)Shift potassium into cells
- C)Remove potassium through the gastrointestinal tract
- D)Stabilize the cardiac membraneGABARITO
- E)Correct the metabolic acidosis directly
Explicação
IV calcium stabilizes the myocardial membrane and reduces the risk of malignant arrhythmias while definitive potassium lowering therapies are started. Ver explicação completa e trilha adaptativa →