A 64-year-old with HFrEF and CKD G3a requires potassium management when starting MRA. Baseline K⁺ 4.9 mEq/L. What is appropriate?...

Question

A 64-year-old with HFrEF and CKD G3a requires potassium management when starting MRA. Baseline K⁺ 4.9 mEq/L. What is appropriate?

Accepted Answer

Defer MRA if K⁺ ≥5.0 mEq/L and monitor closely if 4.9, with labs within 3-7 days after initiation

Answer

Start spironolactone now without monitoring

Answer

Start eplerenone at high dose immediately

Answer

Stop ACEi

Answer

Add potassium supplements

us-abim MCQ (SBA): Heart Failure-MRA Safety