Question

A 55-year-old Aboriginal man living in a remote community has stage 3 chronic kidney disease with albuminuria and poorly controlled blood pressure. There is limited access to nephrology services. What is the most appropriate management approach in the remote primary care setting?

Accepted Answer

Use ACE inhibitor or ARB, optimise blood pressure and glycaemic control, and coordinate shared care with outreach nephrology

Answer

Avoid ACE inhibitors because of kidney disease

Answer

Refer only if dialysis is required

Answer

Stop all antihypertensives to avoid hypotension

Answer

Delay management until the patient can travel to a tertiary centre

Practice question

A 55-year-old Aboriginal man living in a remote community has stage 3 chronic kidney disease with albuminuria and poorly controlled blood pressure. There is limited access to nephrology services. What is the most appropriate management approach in the remote primary care setting?