A 72-year-old with CKD G3b and albuminuria 400 mg/g on ACE inhibitor asks about potassium management if starting finerenone. What is correct?...

Question

A 72-year-old with CKD G3b and albuminuria 400 mg/g on ACE inhibitor asks about potassium management if starting finerenone. What is correct?

Accepted Answer

Monitor potassium and renal function frequently; hold if K⁺ rises >5.5 mEq/L

Answer

No monitoring needed

Answer

Stop ACE inhibitor when starting finerenone

Answer

Target K⁺ 6.0-6.5 mEq/L

Answer

Add potassium supplements prophylactically

us-abim MCQ (SBA): Hyperkalemia Risk with Finerenone