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ACE inhibitor initiation — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsACE inhibitor initiationGPhC CRA

A 68-year-old patient has started ramipril 2.5mg once daily for hypertension. They also take bendroflumethiazide and have no recent blood results recorded. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Check renal function and serum potassium within 1 to 2 weeks

ACE inhibitors can reduce renal perfusion and increase serum potassium, particularly after initiation or dose escalation. Baseline renal function and electrolytes should be checked, then repeated within about 1 to 2 weeks. The other tests may be relevant in different contexts but do not address the immediate safety risk of starting ramipril.

Reference: BNF; NICE CKS