ModerateNephrologyAcute kidney injury on ACE inhibitoruk-plab-1
A 78-year-old man with heart failure and chronic kidney disease stage 3 is taking Ramipril. He develops diarrhoea and vomiting for 3 days and presents with reduced urine output and confusion. Blood tests show creatinine has risen from 140 to 260 micromol per litre. What is the most appropriate immediate management step regarding his medications?