Question

A 62-year-old woman with CKD stage 3b (eGFR 36 mL/min/1.73 m²) is found to have persistent albuminuria (ACR 45 mg/mmol) despite good blood pressure control on Ramipril. According to UK guidance, what is the most appropriate action?

Accepted Answer

Add an SGLT2 inhibitor

Answer

No change in management

Answer

Stop Ramipril

Answer

Start high-dose NSAID for proteinuria

Answer

Refer urgently for dialysis assessment

Practice question

A 62-year-old woman with CKD stage 3b (eGFR 36 mL/min/1.73 m²) is found to have persistent albuminuria (ACR 45 mg/mmol) despite good blood pressure control on Ramipril. According to UK guidance, what is the most appropriate action?