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رجوع لأسئلة AKI & CKD 8 / 24
C-064 مطابق للمصدر

A 50-year-old woman with type 2 diabetes and stage 3b chronic kidney disease returns for a follow-up appointment. Her estimated glomerular filtration rate is 48mL/min. Which medication should she avoid to prevent worsening her renal function?

سؤال مجاني 9 من 10 اليوم · اشترك وكمّل بدون حد

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الإجابة والشرح

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الإجابة: D. Ibuprofen

✓ مطابق للمصدر Chronic Kidney Disease (CKD).pdf · p. 11

With GFR < 60, patients should avoid nephrotoxins; NSAIDs (ibuprofen) reduce renal blood flow by constricting the afferent arteriole and can precipitate AKI or accelerate CKD.

  • Lisinopril is the tempting distractor, but ACE inhibitors are recommended in diabetic nephropathy/proteinuric CKD because they slow progression (just monitor creatinine and K+).
  • Folic acid and oral iron are safe supportive treatments.
المصدر
Chronic Kidney Disease (CKD).pdf · p. 11
Step Up To Medicine 6th 2024 (AKI).pdf · p. 10
Chronic kidney disease.pdf · p. 9
المحاضرة
AKI & CKD · Nephrology · Module C
ظهر في
MED42 Compre C
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