A 63-year-old man with HFrEF and persistent volume overload on loop diuretic has K+ 5.7 mEq/L while on ACE inhibitor and spironolactone. Best immediat...

Question

A 63-year-old man with HFrEF and persistent volume overload on loop diuretic has K+ 5.7 mEq/L while on ACE inhibitor and spironolactone. Best immediate adjustment?

Accepted Answer

Start amiloride

Answer

Stop ACE inhibitor permanently

Answer

Stop spironolactone and reassess potassium

Answer

Add potassium supplements

Answer

No changes, recheck in 1 month

us-abim MCQ (SBA): Hyperkalemia on MRA

A 63-year-old man with HFrEF and persistent volume overload on loop diuretic has K+ 5.7 mEq/L while on ACE inhibitor and spironolactone. Best immediate adjustment?