22nd June 2026

A 48-year-old lady is having routine blood tests after being commenced on ramipril 2.5mg OD one month ago for hypertension.

A 48-year-old lady is having routine blood tests after being commenced on ramipril 2.5mg OD one month ago for hypertension. The renal profiles prior to and after commencing ramipril are shown below:

Pre ramipril:

Na 141

K 4.5

Creat 91

Urea 3

Post 1 month on ramipril:

Na 145

K 4.9

Creat 110

Urea 2.8

Please choose the best management plan:

Select the SINGLE most appropriate option from the list below. Select ONE option only.