Question

A 64-year-old woman has eGFR 48 mL/min/1.73 m2 and urine albumin:creatinine ratio 10 mg/mmol on two occasions. What is the most appropriate management?

Accepted Answer

Diagnose CKD stage 3a, manage cardiovascular risk and consider ACE inhibitor

Answer

Reassure that kidney function is normal

Answer

No action until eGFR falls below 30 mL/min/1.73 m2

Answer

Start high-dose NSAIDs for pain control

Answer

Avoid blood pressure and lipid management until dialysis is required

Practice question

A 64-year-old woman has eGFR 48 mL/min/1.73 m2 and urine albumin:creatinine ratio 10 mg/mmol on two occasions. What is the most appropriate management?