Question

A 58-year-old woman with T2DM and CKD (eGFR 38) has hyperkalemia limiting ACE inhibitor. Which strategy may enable continued RAAS blockade while improving outcomes?

Accepted Answer

Add patiromer or sodium zirconium cyclosilicate to manage K+

Answer

Stop ACE inhibitor permanently

Answer

Switch to beta-blocker for renal protection

Answer

Add loop diuretic and stop SGLT2 inhibitor

Answer

Use low-dose ACE inhibitor once weekly

Practice question

A 58-year-old woman with T2DM and CKD (eGFR 38) has hyperkalemia limiting ACE inhibitor. Which strategy may enable continued RAAS blockade while improving outcomes?