Question

A 73-year-old man with long-standing hypertension and CKD stage 3b (eGFR 38 mL/min/1.73 m²) is found to have persistent potassium 5.9 mmol/L. He takes an ACE inhibitor, spironolactone and slow-release potassium supplements. What is the most appropriate chronic management step?

Accepted Answer

Stop potassium supplements and review need for spironolactone

Answer

Increase spironolactone dose

Answer

No change; potassium <6.5 mmol/L is acceptable

Answer

Start high-dose potassium-rich diet

Answer

Add an NSAID for renal protection

Practice question

A 73-year-old man with long-standing hypertension and CKD stage 3b (eGFR 38 mL/min/1.73 m²) is found to have persistent potassium 5.9 mmol/L. He takes an ACE inhibitor, spironolactone and slow-release potassium supplements. What is the most appropriate chronic management step?