Question

A 64-year-old woman with chronic kidney disease stage 3 is admitted with vomiting and diarrhoea. Her serum creatinine has risen from 130 to 220 µmol/L over 48 hours. She is taking Ramipril for hypertension. What is the most appropriate immediate management regarding her ACE inhibitor?

Accepted Answer

Temporarily withhold Ramipril while treating the acute illness and review renal function

Answer

Continue Ramipril at the same dose

Answer

Increase the dose of Ramipril

Answer

Stop Ramipril permanently

Answer

Switch to an NSAID for better blood pressure control

Practice question

A 64-year-old woman with chronic kidney disease stage 3 is admitted with vomiting and diarrhoea. Her serum creatinine has risen from 130 to 220 µmol/L over 48 hours. She is taking Ramipril for hypertension. What is the most appropriate immediate management regarding her ACE inhibitor?