ukmla MCQ (SBA): Acute Kidney Injury (AKI)

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MediumRenal MedicineAcute Kidney Injury (AKI)ukmlamrcgp aktpanemrcem sbamrcp part 1prescribing safety assessment

A 68-year-old man, known to be taking ramipril 10mg daily for hypertension, presents to the Emergency Department after 2 days of profuse vomiting and diarrhoea. He feels dizzy and has passed minimal urine today. On examination, his BP is 95/60 mmHg, HR 110 bpm, and mucous membranes are dry. Blood tests show: Urea 28 mmol/L, Creatinine 310 µmol/L (baseline 115 µmol/L). What is the most important immediate management step regarding his medication?

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