A 61-year-old woman with stage 4 CKD (eGFR 24) and albuminuria 520 mg/g is on ACE inhibitor and SGLT2 inhibitor. BP 128/76. Next renoprotective step p...

Question

A 61-year-old woman with stage 4 CKD (eGFR 24) and albuminuria 520 mg/g is on ACE inhibitor and SGLT2 inhibitor. BP 128/76. Next renoprotective step per KDIGO 2024?

Accepted Answer

Add nonsteroidal MRA (finerenone) if potassium allows

Answer

Stop ACE inhibitor to reduce creatinine rise

Answer

Switch ACE to dual ACE/ARB

Answer

No additional therapy can help

Answer

Start loop diuretic for renoprotection

us-abim MCQ (SBA): CKD with Albuminuria-Adjunct Therapy

A 61-year-old woman with stage 4 CKD (eGFR 24) and albuminuria 520 mg/g is on ACE inhibitor and SGLT2 inhibitor. BP 128/76. Next renoprotective step per KDIGO 2024?