A 58-year-old with CKD G2A3 on ACE inhibitor has hyperkalemia 5.7 mEq/L after dose uptitration but clear renal/cardiac benefit. Which strategy is cons...

Question

A 58-year-old with CKD G2A3 on ACE inhibitor has hyperkalemia 5.7 mEq/L after dose uptitration but clear renal/cardiac benefit. Which strategy is consistent with CKD guideline to maintain RAAS blockade?

Accepted Answer

Add potassium binder and dietary K+ restriction

Answer

Stop ACE inhibitor permanently

Answer

Switch to loop diuretic only

Answer

Target K+ >6.0 to continue therapy

Answer

No monitoring required

us-abim MCQ (SBA): CKD & Hyperkalemia

A 58-year-old with CKD G2A3 on ACE inhibitor has hyperkalemia 5.7 mEq/L after dose uptitration but clear renal/cardiac benefit. Which strategy is consistent with CKD guideline to maintain RAAS blockade?