🏥 USMLE Exam Prep

A 60-year-old male with chronic kidney disease presents to the ED with generalized weakness. ECG shows peaked T waves. Labs reveal potassium 7.2 mEq/L. Which of the following is the MOST appropriate initial emergent treatment to stabilize the cardiac membrane?

A Regular insulin and dextrose
B Sodium polystyrene sulfonate
C Calcium gluconate
D Albuterol nebulization

✓ Correct Answer: Option C

Calcium gluconate (or calcium chloride) rapidly stabilizes the cardiac membrane in severe hyperkalemia, especially with ECG changes like peaked T waves, by antagonizing the cardiac effects of potassium, thereby reducing arrhythmia risk.

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