A 60-year-old man with eGFR 48 mL/min/1.73 m² and albuminuria is reviewed in general practice. He has long-standing hypertension and type 2 diabetes. ...

Question

A 60-year-old man with eGFR 48 mL/min/1.73 m² and albuminuria is reviewed in general practice. He has long-standing hypertension and type 2 diabetes. What is the most appropriate blood pressure management strategy?

Accepted Answer

Continue or commence ACE inhibitor or ARB to target blood pressure

Answer

Stop ACE inhibitor and avoid all renin-angiotensin system blockers

Answer

Aim for blood pressure around 160/90 mmHg to preserve renal perfusion

Answer

Use beta blockers only as first-line agents

Answer

Avoid all antihypertensives as they worsen kidney disease

au-racgp MCQ (SBA): CKD blood pressure management

A 60-year-old man with eGFR 48 mL/min/1.73 m² and albuminuria is reviewed in general practice. He has long-standing hypertension and type 2 diabetes. What is the most appropriate blood pressure management strategy?