A 69 year old man with long standing hypertension and type 2 diabetes has an estimated glomerular filtration rate (eGFR) of 38 mL/min/1.73 m², stable ...

Question

A 69 year old man with long standing hypertension and type 2 diabetes has an estimated glomerular filtration rate (eGFR) of 38 mL/min/1.73 m², stable over 6 months, and albuminuria. He is managed in general practice. Which of the following is the most appropriate next step?

Accepted Answer

Refer to a nephrologist for shared care

Answer

No change, continue routine annual review

Answer

Commence dual ACE inhibitor and ARB therapy

Answer

Stop ACE inhibitor because eGFR is

Answer

Start high dose NSAIDs for analgesia

au-racgp MCQ (SBA): CKD referral threshold

A 69 year old man with long standing hypertension and type 2 diabetes has an estimated glomerular filtration rate (eGFR) of 38 mL/min/1.73 m², stable over 6 months, and albuminuria. He is managed in general practice. Which of the following is the most appropriate next step?