A 68-year-old with T2D and CKD G3b A3 (eGFR 38, ACR 520 mg/g) is on maximized ACE inhibitor and SGLT2 inhibitor. Potassium 4.6 mEq/L. Next kidney-prot...

Question

A 68-year-old with T2D and CKD G3b A3 (eGFR 38, ACR 520 mg/g) is on maximized ACE inhibitor and SGLT2 inhibitor. Potassium 4.6 mEq/L. Next kidney-protective add-on?

Accepted Answer

Add a nonsteroidal mineralocorticoid receptor antagonist (e.g. finerenone)

Answer

Stop ACE inhibitor because eGFR

Answer

finerenone

Answer

Add NSAID for proteinuria control

Answer

Start dual ACEi and ARB

KDIGO guideline (2024): evaluation and management of chronic kidney disease MCQ (SBA): CKD G3b A3

A 68-year-old with T2D and CKD G3b A3 (eGFR 38, ACR 520 mg/g) is on maximized ACE inhibitor and SGLT2 inhibitor. Potassium 4.6 mEq/L. Next kidney-protective add-on?