Question

A 68-year-old with CKD G3b has persistent hypertension despite ACE inhibitor and thiazide. Which diuretic strategy aligns with CKD and BP lowering?

Accepted Answer

Switch thiazide to loop diuretic if eGFR <30 mL/min/1.73 m²

Answer

Avoid diuretics in CKD

Answer

Use spironolactone universally first

Answer

No change needed

Answer

Use mannitol

Practice question

A 68-year-old with CKD G3b has persistent hypertension despite ACE inhibitor and thiazide. Which diuretic strategy aligns with CKD and BP lowering?