A 59-year-old with CKD stage 3b (eGFR 38) and albuminuria is on ramipril 10 mg OD. Potassium remains 5.5 mmol/L. BP 134/78. What is the next step rega...

Question

A 59-year-old with CKD stage 3b (eGFR 38) and albuminuria is on ramipril 10 mg OD. Potassium remains 5.5 mmol/L. BP 134/78. What is the next step regarding ACE inhibitor?

Accepted Answer

Continue ACE inhibitor and repeat K⁺ in 1 week with dietary advice

Answer

Stop ACE inhibitor immediately

Answer

Reduce ramipril dose

Answer

Switch to ARB

Answer

Add spironolactone

ukmla MCQ (SBA): CKD and Hyperkalaemia Risk

A 59-year-old with CKD stage 3b (eGFR 38) and albuminuria is on ramipril 10 mg OD. Potassium remains 5.5 mmol/L. BP 134/78. What is the next step regarding ACE inhibitor?