A CKD patient started lisinopril; after 1 week he improved but creatinine rose from 1.5 to 1.8. What is the next step?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Continue lisinopril and review in 2–3 weeks
✓ مطابق للمصدر
CKD +RRT.pdf · p. 3
Starting an ACE inhibitor causes an expected early fall in GFR (efferent arteriole dilation). Treatment is continued as long as the fall in GFR is ≤ 25% and not progressive; here creatinine rose 1.5 → 1.8 (~20%), so continue lisinopril and recheck renal function.
- Stopping it (B, C) would forfeit its renoprotective effect; stop only if the GFR drop is > 25% or progressive.
- Adding valsartan (dual ACEi + ARB) is not recommended.
- المصدر
- CKD +RRT.pdf · p. 3
Chronic kidney disease.pdf · p. 10 - المحاضرة
- AKI & CKD · Nephrology · Module C
- ظهر في
- MED41 ♂ EOM C