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A 58-year-old man with kidney failure has weakness and palpitations. ECG shows peaked T waves and QRS widening. Which intervention should be given first?
K+ 7.2 mEq/L · HR 48/min · BP 102/64 mm Hg
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IM-0618 · NEPHROLOGY
✓ A — 3% hypertonic saline. Hyperkalemia with ECG changes requires immediate IV calcium to stabilize the cardiac membrane before shifting potassium or removing it from the body.
