Question

A 62-year-old with CKD G3b and albuminuria 450 mg/g has BP 132/82 on lisinopril 20 mg. Standardized SBP readings confirm values 130-135. Best adjustment?

Accepted Answer

Add thiazide-like diuretic and intensify toward SBP <120

Answer

Stop ACE inhibitor due to albuminuria

Answer

Add beta-blocker solely to reach SBP <100

Answer

No change; SBP target <140 is adequate

Answer

Add hydralazine PRN for spikes

Practice question

A 62-year-old with CKD G3b and albuminuria 450 mg/g has BP 132/82 on lisinopril 20 mg. Standardized SBP readings confirm values 130-135. Best adjustment?