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Diuretic sick day risk — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsDiuretic sick day riskGPhC CRA

A 79-year-old woman takes ramipril and furosemide. She has had vomiting and diarrhoea for 24 hours and asks whether to continue medicines until she can see her GP. What would you advise the patient?

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

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Correct answer: A — Seek clinical advice promptly because dehydration increases renal injury risk

Vomiting and diarrhoea can cause dehydration and acute kidney injury, particularly with ACE inhibitors and diuretics. The patient should be directed for prompt clinical advice on temporary medicine management and hydration. NSAIDs would add renal risk.

Reference: BNF; NICE CKS