A 70-year-old with stage 3 CKD and albuminuria 400 mg/g is on ACE inhibitor and SGLT2 inhibitor. Potassium 4.6, eGFR 45. Next kidney-protective agent?...

Question

A 70-year-old with stage 3 CKD and albuminuria 400 mg/g is on ACE inhibitor and SGLT2 inhibitor. Potassium 4.6, eGFR 45. Next kidney-protective agent?

Accepted Answer

Add nonsteroidal MRA (finerenone)

Answer

Add thiazide diuretic

Answer

Stop ACE inhibitor

Answer

Add DPP-4 inhibitor

Answer

No changes

us-abim MCQ (SBA): CKD-Finerenone Use

A 70-year-old with stage 3 CKD and albuminuria 400 mg/g is on ACE inhibitor and SGLT2 inhibitor. Potassium 4.6, eGFR 45. Next kidney-protective agent?