Question

A 64-year-old woman with chronic kidney disease stage 4 (eGFR 22 mL/min/1.73 m²) is on lisinopril for hypertension and albuminuria. Her latest bloods show potassium 5.9 mmol/L and creatinine 260 µmol/L (previously 230 µmol/L). She is otherwise asymptomatic. What is the most appropriate immediate management regarding her ACE inhibitor?

Accepted Answer

Temporarily cease lisinopril and review potassium and renal function

Answer

Continue the current dose of lisinopril unchanged

Answer

Increase the dose of lisinopril to improve blood pressure and proteinuria

Answer

Switch lisinopril to a potassium-sparing diuretic

Answer

Ignore the potassium as it is within acceptable limits for CKD

Practice question