Question

A 70-year-old with diabetes and CKD is on ACE inhibitor. Potassium is 5.1 mEq/L, eGFR 42. Considering adding MRA for HFrEF. What monitoring is essential?

Accepted Answer

Check potassium and creatinine within 3 days and at 1 week after initiation, then monthly

Answer

Annual labs are sufficient

Answer

No monitoring needed if asymptomatic

Answer

Stop ACE to start MRA

Answer

Check BNP only

Practice question

A 70-year-old with diabetes and CKD is on ACE inhibitor. Potassium is 5.1 mEq/L, eGFR 42. Considering adding MRA for HFrEF. What monitoring is essential?