Question

A 60-year-old woman with CKD 3a and persistent hyperkalemia 5.3-5.5 mEq/L on ACE inhibitor asks about management. She has albuminuria. Best approach?

Accepted Answer

Use potassium-lowering strategies (dietary counseling, binders) to maintain RAAS blockade

Answer

Stop ACE inhibitor permanently

Answer

Start spironolactone despite K 5.5

Answer

No monitoring needed

Answer

Add NSAID to reduce potassium

Practice question

A 60-year-old woman with CKD 3a and persistent hyperkalemia 5.3-5.5 mEq/L on ACE inhibitor asks about management. She has albuminuria. Best approach?