A 68-year-old man with chronic kidney disease (eGFR 28 mL/min/1.73 m²) presents with bilateral ankle oedema and mild breathlessness. His potassium is ...

Question

A 68-year-old man with chronic kidney disease (eGFR 28 mL/min/1.73 m²) presents with bilateral ankle oedema and mild breathlessness. His potassium is 5.7 mmol/L and bicarbonate 18 mmol/L. What is the MOST appropriate next step in management?

Accepted Answer

Refer to nephrology for urgent assessment and optimise chronic kidney disease management

Answer

Increase ACE inhibitor dose

Answer

Stop all antihypertensives immediately

Answer

Ignore biochemical abnormalities and treat oedema with high-dose frusemide only

Answer

Start high-dose potassium supplements

au-racp MCQ (SBA): Chronic kidney disease stage 4

A 68-year-old man with chronic kidney disease (eGFR 28 mL/min/1.73 m²) presents with bilateral ankle oedema and mild breathlessness. His potassium is 5.7 mmol/L and bicarbonate 18 mmol/L. What is the MOST appropriate next step in management?