A patient with end-stage renal disease (ESRD) has tall, peaked T waves on his electrocardiogram (ECG). Which of the following is the best action?
A) Repeat the ECG.
B) Check the serum potassium level.
C) Prepare to give sodium bicarbonate to correct the acidosis.
D) Nothing. This is a normal finding for individuals with ESRD.

Question

Quizplus · Accepted Answer

Tall, peaked T waves on an ECG are indicative of hyperkalemia, which is common in patients with ESRD. Checking the serum potassium level is essential to confirm hyperkalemia and guide further treatment.

A Patient with End-Stage Renal Disease (ESRD) Has Tall, Peaked