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ACE inhibitor monitoring — GPhC CRA MCQ

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HardCardiovascular TherapeuticsACE inhibitor monitoringGPhC CRA

A GP asks whether a 58-year-old patient can start ramipril for hypertension. Baseline eGFR is 72 mL/min/1.73 m2 and potassium is 4.4 mmol/L. The patient takes atorvastatin and amlodipine. What monitoring is required?

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

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Correct answer: CCheck renal function and potassium within 1 to 2 weeks

ACE inhibitors can reduce glomerular filtration pressure and increase potassium. Renal function and electrolytes should be checked after initiation and dose increases. The other tests are not the key safety monitoring for ramipril initiation.

Reference: BNF; NICE CKS