A 38-year-old returns 3 weeks after starting ACE inhibitor for CKD with albuminuria. Serum creatinine rose from 1.0 to 1.2 mg/dL (20% increase) and K+...

Question

A 38-year-old returns 3 weeks after starting ACE inhibitor for CKD with albuminuria. Serum creatinine rose from 1.0 to 1.2 mg/dL (20% increase) and K+ 4.9 mEq/L. BP improved. Next step?

Accepted Answer

Continue ACE inhibitor and monitor

Answer

Stop ACE inhibitor immediately

Answer

Add potassium-sparing diuretic

Answer

Begin high-potassium diet

Answer

Switch to NSAID for proteinuria

us-abim MCQ (SBA): CKD-ACE/ARB Monitoring

A 38-year-old returns 3 weeks after starting ACE inhibitor for CKD with albuminuria. Serum creatinine rose from 1.0 to 1.2 mg/dL (20% increase) and K+ 4.9 mEq/L. BP improved. Next step?