Anion Gap Calculation CKD Hyperchloraemic — ESENeph MCQ
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Correct answer: B — Prepared, rested standardized measurement with correct cuff and repeats
The best answer is “Prepared, rested standardized measurement with correct cuff and repeats”. The target was derived using standardized measurements; casual readings can differ materially and should not trigger inappropriate overtreatment. “A casual reading obtained immediately after the patient walks in” is less appropriate because this is not interchangeable with standardized measurement “The highest reading recorded during routine clinical observations” is less appropriate because selecting the maximum does not follow a validated protocol “A wrist-cuff reading obtained with an unvalidated device” is less appropriate because technique and device accuracy are essential “Ambulatory measurement interpreted with its corresponding validated threshold” is less appropriate because albuminuria does not remove the need to measure and treat pressure
Reference: KDIGO 2021 blood-pressure guideline in CKD: https://kdigo.org/wp-content/uploads/2016/10/KDIGO-2021-BP-GL.pdf