Question

A 63-year-old with long-standing diabetes and CKD G4 presents with metabolic acidosis, serum bicarbonate 17 mEq/L. What chronic therapy slows CKD progression and corrects acidosis?

Accepted Answer

Oral sodium bicarbonate to maintain HCO₃⁻ ≥22 mEq/L

Answer

IV bicarbonate weekly

Answer

No therapy

Answer

Potassium citrate

Answer

Stop ACE inhibitor

Practice question

A 63-year-old with long-standing diabetes and CKD G4 presents with metabolic acidosis, serum bicarbonate 17 mEq/L. What chronic therapy slows CKD progression and corrects acidosis?