Question

A 54-year-old man with CKD stage 3b has persistent hyperkalaemia (K+ 5.8 mmol/L) and is on ramipril, spironolactone and ibuprofen for osteoarthritis. According to CKD management guidance, which is the most appropriate medication change?

Accepted Answer

Cease ibuprofen and consider alternative analgesia

Answer

Increase spironolactone dose

Answer

Cease ramipril and continue other drugs

Answer

Add potassium supplements

Answer

No change; this potassium level is acceptable

Practice question

A 54-year-old man with CKD stage 3b has persistent hyperkalaemia (K+ 5.8 mmol/L) and is on ramipril, spironolactone and ibuprofen for osteoarthritis. According to CKD management guidance, which is the most appropriate medication change?