A 66-year-old with type 2 diabetes and CKD asks about ACE inhibitor initiation. Creatinine rises from 1.1 to 1.3 mg/dL after starting lisinopril. What...

Question

A 66-year-old with type 2 diabetes and CKD asks about ACE inhibitor initiation. Creatinine rises from 1.1 to 1.3 mg/dL after starting lisinopril. What should you do?

Accepted Answer

Continue and monitor; small creatinine rise is acceptable

Answer

Stop ACE inhibitor immediately

Answer

Double the dose immediately

Answer

Start NSAID for renal protection

Answer

Add spironolactone without monitoring

acei initiation in ckd MCQ (SBA): Moderate

A 66-year-old with type 2 diabetes and CKD asks about ACE inhibitor initiation. Creatinine rises from 1.1 to 1.3 mg/dL after starting lisinopril. What should you do?