A 58-year-old with diabetes and CKD asks about ACEi/ARB monitoring. What change in creatinine is acceptable after initiation?...

Question

A 58-year-old with diabetes and CKD asks about ACEi/ARB monitoring. What change in creatinine is acceptable after initiation?

Accepted Answer

Increase up to ~30% from baseline is acceptable with monitoring

Answer

Any increase indicates injury and requires stopping

Answer

No monitoring needed

Answer

Increase up to 100% acceptable

Answer

Hold therapy until creatinine normalizes to baseline

us-abim MCQ (SBA): ACEi/ARB Monitoring