Question

A 55-year-old male smoker with BMI 31 kg/m² and BP 148/92 mm Hg is started on thiazide-like diuretic and ACE inhibitor. Potassium after 2 weeks is 3.1 mEq/L. What is the next best step?

Accepted Answer

Add oral potassium supplementation and reassess

Answer

Add spironolactone immediately

Answer

Stop ACE inhibitor

Answer

Add beta‑blocker

Answer

No change; hypokalemia is acceptable

Practice question

A 55-year-old male smoker with BMI 31 kg/m² and BP 148/92 mm Hg is started on thiazide-like diuretic and ACE inhibitor. Potassium after 2 weeks is 3.1 mEq/L. What is the next best step?