A 59-year-old with hypertension and diabetes is started on lisinopril. Creatinine rises from 1.0 to 1.2 mg/dL and potassium to 4.9 mEq/L after 2 weeks...

Question

A 59-year-old with hypertension and diabetes is started on lisinopril. Creatinine rises from 1.0 to 1.2 mg/dL and potassium to 4.9 mEq/L after 2 weeks. What is the best action?

Accepted Answer

Continue ACE inhibitor with monitoring; changes are acceptable

Answer

Stop ACE inhibitor immediately

Answer

Add NSAID for analgesia

Answer

Start potassium supplement

Answer

Switch to hydralazine

us-abfm MCQ (SBA): ACEi Monitoring in CKD

A 59-year-old with hypertension and diabetes is started on lisinopril. Creatinine rises from 1.0 to 1.2 mg/dL and potassium to 4.9 mEq/L after 2 weeks. What is the best action?