A 64-year-old man with CKD stage 3b (eGFR 38) and hypertension is on ramipril 10 mg. Potassium rises from 4.6 to 5.6 mmol/L after uptitration. He is a...

Question

A 64-year-old man with CKD stage 3b (eGFR 38) and hypertension is on ramipril 10 mg. Potassium rises from 4.6 to 5.6 mmol/L after uptitration. He is asymptomatic. What is the most appropriate action?

Accepted Answer

Stop ramipril and recheck U\&Es in 5-7 days

Answer

Continue ramipril; start spironolactone

Answer

Ignore potassium and recheck in 6 months

Answer

Switch to verapamil

Answer

Add thiazide diuretic without changing ramipril

ukmla MCQ (SBA): ACE-I induced hyperkalaemia

A 64-year-old man with CKD stage 3b (eGFR 38) and hypertension is on ramipril 10 mg. Potassium rises from 4.6 to 5.6 mmol/L after uptitration. He is asymptomatic. What is the most appropriate action?