A 68-year-old man is commenced on ramipril for hypertension. A week later, his routine blood tests show: Sodium 138 mmol/L, Potassium 5.8 mmol/L, Urea...

Question

A 68-year-old man is commenced on ramipril for hypertension. A week later, his routine blood tests show: Sodium 138 mmol/L, Potassium 5.8 mmol/L, Urea 8.2 mmol/L, Creatinine 130 µmol/L (baseline creatinine was 100 µmol/L). What is the most appropriate action regarding his ramipril?

Accepted Answer

Stop ramipril immediately

Answer

Continue ramipril at the same dose and repeat U&Es in 1 week

Answer

Reduce ramipril dose by half and repeat U&Es in 1 week

Answer

Increase ramipril dose to achieve target BP

Answer

Switch ramipril to amlodipine

mrcgp akt MCQ (SBA): ACE Inhibitor Induced Hyperkalaemia/AKI

A 68-year-old man is commenced on ramipril for hypertension. A week later, his routine blood tests show: Sodium 138 mmol/L, Potassium 5.8 mmol/L, Urea 8.2 mmol/L, Creatinine 130 µmol/L (baseline creatinine was 100 µmol/L). What is the most appropriate action regarding his ramipril?