A 55-year-old woman with CKD G4A3 (eGFR 22 mL/min/1.73m2) has a potassium of 6.2 mmol/L. Her ECG shows peaked T waves. She is on Ramipril 10 mg,

Question

A 55-year-old woman with CKD G4A3 (eGFR 22 mL/min/1.73m2) has a potassium of 6.2 mmol/L. Her ECG shows peaked T waves. She is on Ramipril 10 mg, Dapagliflozin 10 mg, and Spironolactone 25 mg. After initial emergency management, which medication should be stopped first?

Accepted Answer

Spironolactone

Answer

None – add Sodium Zirconium Cyclosilicate and continue all

Answer

Dapagliflozin

Answer

Ramipril

Answer

All three medications

Hyperkalaemia — ESENeph MCQ

A 55-year-old woman with CKD G4A3 (eGFR 22 mL/min/1.73m2) has a potassium of 6.2 mmol/L. Her ECG shows peaked T waves. She is on Ramipril 10 mg, Dapagliflozin 10 mg, and Spironolactone 25 mg. After initial emergency management, which medication should be stopped first?