A 58-year-old with CKD stage 3b on lisinopril 20 mg daily has eGFR fall from 38 to 30 mL/min/1.73 m² after initiation with stable potassium 4.8 mEq/L ...

Question

A 58-year-old with CKD stage 3b on lisinopril 20 mg daily has eGFR fall from 38 to 30 mL/min/1.73 m² after initiation with stable potassium 4.8 mEq/L and no symptoms. What is recommended?

Accepted Answer

Continue ACE inhibitor and monitor

Answer

Stop ACE inhibitor immediately

Answer

Switch to direct renin inhibitor

Answer

Add potassium-sparing diuretic

Answer

Target systolic BP

us-abfm MCQ (SBA): CKD and RAAS Blockade

A 58-year-old with CKD stage 3b on lisinopril 20 mg daily has eGFR fall from 38 to 30 mL/min/1.73 m² after initiation with stable potassium 4.8 mEq/L and no symptoms. What is recommended?