8th July 2024

A 55-year-old man is admitted with pneumonia. He is commenced on IV antibiotics

A 55-year-old man is admitted with pneumonia. He is commenced on IV antibiotics with a CURB-65 score of 3. He is a known Type-2 diabetic, is on 3 agents for hypertension and has been for 5 years. He is a smoker and has had two previous NSTEMIs and had PCI. You note his eGFR is 30mL/min/1.73 m² on bloods taken by his GP one week prior to admission for ‘monitoring’. His eGFR two months ago was 37mL/min/1.73 m², and six months ago it was 41mL/min/1.73 m². One year ago, it was 49mL/min/1.73 m². What is the most appropriate statement regarding staging and ongoing management?

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