A 54-year-old with chronic kidney disease stage 3b has persistent hyperkalaemia (K+ 5.7 mmol/L) on ramipril. BP 130/76. Which is the best next step?...

Question

A 54-year-old with chronic kidney disease stage 3b has persistent hyperkalaemia (K+ 5.7 mmol/L) on ramipril. BP 130/76. Which is the best next step?

Accepted Answer

Add patiromer and continue ACE inhibitor

Answer

Stop ramipril and start amlodipine

Answer

No change; recheck in 6 months

Answer

Add spironolactone

Answer

Start IV calcium gluconate

ukmla MCQ (SBA): CKD with hyperkalaemia on ACEi