A 70-year-old with diabetic CKD and persistent hyperkalemia 5.6 mEq/L on ACE inhibitor and finerenone asks about management. First step?...

Question

A 70-year-old with diabetic CKD and persistent hyperkalemia 5.6 mEq/L on ACE inhibitor and finerenone asks about management. First step?

Accepted Answer

Address reversible causes and consider potassium binder to maintain RAAS/MRA therapy

Answer

Stop RAAS blockade immediately in all

Answer

No action; mild HK acceptable

Answer

Start spironolactone

Answer

Increase ACE inhibitor dose

hyperkalemia in ckd on raas/mra MCQ (SBA): Moderate