A 63-year-old with CKD stage 3a and albuminuria (UACR 180 mg/g) has BP 126/78 on ARB and uses NSAIDs daily for OA. What kidney-protective advice align...

Question

A 63-year-old with CKD stage 3a and albuminuria (UACR 180 mg/g) has BP 126/78 on ARB and uses NSAIDs daily for OA. What kidney-protective advice aligns with KDIGO?

Accepted Answer

Advise NSAID avoidance and maintain RAAS blockade

Answer

Continue NSAIDs; no effect on CKD

Answer

Stop ARB to avoid hyperkalemia

Answer

Add dual RAAS blockade (ACEi + ARB)

Answer

No lifestyle changes needed

us-abim MCQ (SBA): CKD (Nephrotoxin Avoidance)

A 63-year-old with CKD stage 3a and albuminuria (UACR 180 mg/g) has BP 126/78 on ARB and uses NSAIDs daily for OA. What kidney-protective advice aligns with KDIGO?