Question

A 58-year-old with CKD G3a A3 (eGFR 52 mL/min/1.73 m²; UACR 320 mg/g) and hypertension is not on RAAS blockade. Best next step to slow CKD progression?

Accepted Answer

Start an ACE inhibitor

Answer

Increase dietary protein

Answer

Start sodium bicarbonate to target serum 26 mEq/L

Answer

Thiazide diuretic only

Answer

Refer for dialysis initiation now

Practice question

A 58-year-old with CKD G3a A3 (eGFR 52 mL/min/1.73 m²; UACR 320 mg/g) and hypertension is not on RAAS blockade. Best next step to slow CKD progression?