29th February 2024

A 52-year-old gentleman has recently received a new diagnosis of hypertension and was started on 2.5mg ramipril 2 weeks ago.

A 52-year-old gentleman has recently received a new diagnosis of hypertension and was started on 2.5mg ramipril 2 weeks ago.

His blood results before and after are shown below:

Before:

Na 132 (135-145 mmol/l)

K 3.6 (3.5-5 mmol/l)

Ur 3.2 (3-7 mmol/l)

Cr 98 (60-125 umol/l)

eGFR 86ml/min/1.73m2

After:

Na 134 (135-145 mmol/l)

K 4.8 (3.5-5 mmol/l)

Ur 3.6 (3-7 mmol/l)

Cr 122 (60-125 umol/l)

eGFR 70ml/min/1.73m2

Select the most appropriate management option: