Question

A 70-year-old hospitalized with HFrEF, creatinine 1.0, K 4.5 mEq/L is not on MRA. Which is appropriate?

Accepted Answer

Start spironolactone if eGFR >30 and K <5.0

Answer

Avoid MRA due to gynecomastia risk

Answer

Use eplerenone only if eGFR >60

Answer

Delay MRA until outpatient follow-up

Answer

Start MRA only if K <4.0

Practice question

A 70-year-old hospitalized with HFrEF, creatinine 1.0, K 4.5 mEq/L is not on MRA. Which is appropriate?