Question

A 55 year old man with long standing hypertension is found to have an eGFR of 45 ml per minute per 1.73 square metres and an albumin creatinine ratio of 45 mg per mmol. He is already on an ACE inhibitor. What additional treatment should be considered to reduce progression of chronic kidney disease?

Accepted Answer

Tight blood pressure control and SGLT2 inhibitor if appropriate

Answer

Stop ACE inhibitor to avoid further renal damage

Answer

Aim for higher blood pressure to improve kidney perfusion

Answer

No treatment is needed at this stage

Answer

High dose NSAIDs for analgesia

Practice question

A 55 year old man with long standing hypertension is found to have an eGFR of 45 ml per minute per 1.73 square metres and an albumin creatinine ratio of 45 mg per mmol. He is already on an ACE inhibitor. What additional treatment should be considered to reduce progression of chronic kidney disease?