A 62-year-old man with CKD stage 3b (eGFR 38) and ACR 85 mg/mmol, no diabetes, has hypertension. Which intervention is specifically recommended?...

Question

A 62-year-old man with CKD stage 3b (eGFR 38) and ACR 85 mg/mmol, no diabetes, has hypertension. Which intervention is specifically recommended?

Accepted Answer

Start ACE inhibitor or ARB at optimised dose

Answer

No renin-angiotensin blockade until ACR >300 mg/mmol

Answer

Start thiazide-like diuretic only

Answer

Avoid ACEi/ARB due to low eGFR

Answer

SGLT2 inhibitor monotherapy without ACEi/ARB

ukmla MCQ (SBA): CKD with Albuminuria