A 74-year-old with HFrEF develops hyperkalemia (5.8 mEq/L) on ACEi and MRA. Asymptomatic, normal EKG. What is first management?...

Question

A 74-year-old with HFrEF develops hyperkalemia (5.8 mEq/L) on ACEi and MRA. Asymptomatic, normal EKG. What is first management?

Accepted Answer

Stop ACEi and MRA permanently

Answer

Temporarily hold or reduce MRA and initiate measures to lower K+; reassess to continue RAAS blockade

Answer

Give IV calcium and insulin immediately

Answer

No action needed

Answer

Stop ACEi and MRA temporarily

"cardiology" MCQ (SBA): Hyperkalemia in Heart Failure