Question

A 64-year-old woman with hypertension is started on ramipril. Baseline K+ 4.8 mmol/L, creatinine 92 µmol/L. After 10 days: K+ 6.1 mmol/L, creatinine 110 µmol/L. Best action?

Accepted Answer

Stop ACE inhibitor and manage hyperkalaemia; reconsider alternatives

Answer

Continue and review in 3 months

Answer

Increase dose

Answer

Add spironolactone

Answer

No action needed

Practice question

A 64-year-old woman with hypertension is started on ramipril. Baseline K+ 4.8 mmol/L, creatinine 92 µmol/L. After 10 days: K+ 6.1 mmol/L, creatinine 110 µmol/L. Best action?