Question

A 60-year-old woman with chronic kidney disease stage 3 (eGFR 45 mL/min/1.73 m²) has a urine albumin:creatinine ratio of 35 mg/mmol. Blood pressure is 138/82 mmHg on no medications. Which measure is most appropriate to slow progression of CKD?

Accepted Answer

Start an ACE inhibitor even if blood pressure is in the high-normal range

Answer

No treatment as eGFR is >30

Answer

Avoid ACE inhibitors to prevent hyperkalaemia

Answer

Start a thiazide diuretic only

Answer

Aim to keep blood pressure above 150/90 mmHg to maintain renal perfusion

Practice question

A 60-year-old woman with chronic kidney disease stage 3 (eGFR 45 mL/min/1.73 m²) has a urine albumin:creatinine ratio of 35 mg/mmol. Blood pressure is 138/82 mmHg on no medications. Which measure is most appropriate to slow progression of CKD?