Question

A 66-year-old with stage 3 CKD (eGFR 47) and albuminuria has serum creatinine increased after starting ACE inhibitor. Potassium 4.9. BP 128/78. What is appropriate?

Accepted Answer

Continue ACE inhibitor if creatinine increase is ≤30% from baseline and potassium acceptable

Answer

Stop ACE inhibitor immediately if creatinine rises any amount

Answer

Switch to ARB

Answer

Add spironolactone regardless of potassium

Answer

Increase protein intake

Practice question

A 66-year-old with stage 3 CKD (eGFR 47) and albuminuria has serum creatinine increased after starting ACE inhibitor. Potassium 4.9. BP 128/78. What is appropriate?