How Might Current Data Inform the Primary Care Physician’s and the Multidisciplinary Team’s Management of Cardiorenal Risk in Patients with Chronic Kidney Disease and Type 2 Diabetes?
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Ronald is a 62-year-old man with a history of T2D. Lab results show eGFR of 43 mL/min/1.73m2 + serum K+ of 4.8mEq/L. He is currently taking finerenone10 mg QD. How would you manage the hyperkalemia in this patient?
Continue on10 mg QD. Check K+in 1 month
Continue on10 mg QD. Check K+in 4 months
Increase dose to 20 mg QD. Check K+ in 1 month
Increase dose to 20 mg QD. Check K+ in 4 months
Withhold finerenone and recheck K+within 72 hours
The pillars of therapy to reduce cardiorenal risk include (Select all that apply)
RAS blockade
SGLT2 inhibitors
Steroidal MRA
Non-steroidal MRA
All of the above
Spironolactone has _____ selectivity to MR, a _____ half-life and _____ effect on BP compared with finerenone.
less, longer, greater
more, shorter, greater
less, shorter, less
more, longer, less
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