Question

A 60-year-old patient with stage 3 CKD (eGFR 45 mL/min/1.73m2) is found to have persistent hyperkalaemia of 6.0 mmol/L. Which medication adjustment should be considered first according to NICE?

Accepted Answer

Stop or reduce ACE inhibitor/ARB

Answer

Start sodium bicarbonate

Answer

Increase loop diuretics

Answer

Add long-term insulin infusion

Answer

Begin haemodialysis

Practice question

A 60-year-old patient with stage 3 CKD (eGFR 45 mL/min/1.73m2) is found to have persistent hyperkalaemia of 6.0 mmol/L. Which medication adjustment should be considered first according to NICE?