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ACE inhibitor renal monitoring — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsACE inhibitor renal monitoringGPhC CRA

A patient starting ramipril for hypertension asks when blood tests are needed. Their baseline creatinine and potassium were checked last week and the GP has issued a first prescription. What monitoring is required?

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

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Correct answer: A — Check U&Es and potassium within 1-2 weeks

ACE inhibitors can increase creatinine and potassium, particularly soon after initiation or titration. Early U&Es and potassium monitoring is needed before continuing routine repeat supply. In this scenario, the correct option is check U&Es and potassium within 1-2 weeks. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; NICE CKS