A 75-year-old man with heart failure (LVEF 28%) is on Ramipril 10 mg, Bisoprolol 10 mg, Furosemide 80 mg, Spironolactone 25 mg, and Atorvastatin 40 mg...

Question

A 75-year-old man with heart failure (LVEF 28%) is on Ramipril 10 mg, Bisoprolol 10 mg, Furosemide 80 mg, Spironolactone 25 mg, and Atorvastatin 40 mg. His eGFR is 45 mL/min/1.73m² and potassium is 5.8 mmol/L. He is clinically well. What is the MOST appropriate immediate action?

Accepted Answer

Stop Spironolactone

Answer

Stop Ramipril

Answer

Reduce Bisoprolol

Answer

Administer intravenous calcium gluconate

Answer

Add Sodium Zirconium Cyclosilicate and recheck potassium in 48 hours

uk-dgm MCQ (SBA): Hyperkalaemia Management in Heart Failure

A 75-year-old man with heart failure (LVEF 28%) is on Ramipril 10 mg, Bisoprolol 10 mg, Furosemide 80 mg, Spironolactone 25 mg, and Atorvastatin 40 mg. His eGFR is 45 mL/min/1.73m² and potassium is 5.8 mmol/L. He is clinically well. What is the MOST appropriate immediate action?