MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A patient with kidney disease has a very high potassium result. He feels well and has no obvious ECG changes. The laboratory reports possible haemolysis.
Can this wait until the next routine appointment?
No. Prompt severity assessment, discussion with the laboratory and urgent confirmation appropriate to the context are required. Haemolysis may explain the result, but kidney disease makes true hyperkalaemia plausible. Absent symptoms or obvious ECG changes do not justify unmonitored delay; confirmation and safety measures must proceed together.