A 66-year-old with CKD and albuminuria 300 mg/g on ACE inhibitor and SGLT2 asks about adding finerenone. Potassium is 4.6 mEq/L. What counseling is ke...

Question

A 66-year-old with CKD and albuminuria 300 mg/g on ACE inhibitor and SGLT2 asks about adding finerenone. Potassium is 4.6 mEq/L. What counseling is key?

Accepted Answer

Monitor potassium; hyperkalemia risk exists

Answer

No lab monitoring required

Answer

Stop ACE inhibitor when starting finerenone

Answer

Add potassium supplements

Answer

Use salt substitutes freely

us-abim MCQ (SBA): Finerenone-Monitoring

A 66-year-old with CKD and albuminuria 300 mg/g on ACE inhibitor and SGLT2 asks about adding finerenone. Potassium is 4.6 mEq/L. What counseling is key?