Question

A 65-year-old man with long-standing hypertension and diabetes has an eGFR of 22 mL/min/1.73 m² and persistent albuminuria. His blood pressure is 132/78 mm Hg on an ACE inhibitor and thiazide diuretic. According to CKD management principles, which of the following is most appropriate?

Accepted Answer

Continue ACE inhibitor and refer to nephrology for advanced CKD management

Answer

Discontinue ACE inhibitor to preserve renal function

Answer

Target blood pressure <150/90 mm Hg to avoid hypotension

Answer

No referral is required until dialysis is imminent

Answer

Switch to NSAIDs for pain control in place of acetaminophen

Practice question

A 65-year-old man with long-standing hypertension and diabetes has an eGFR of 22 mL/min/1.73 m² and persistent albuminuria. His blood pressure is 132/78 mm Hg on an ACE inhibitor and thiazide diuretic. According to CKD management principles, which of the following is most appropriate?