QuestionSBA
QuestionChoice
These are not contraindicated in AKI.
10028385
e
Hypromellose eye drops
QuestionChoice
This medication is not contraindicated in AKI.
10028384
d
Paracetamol
QuestionChoice
These should be stopped if the AKI is due to rhabdomyolysis or if the patient complains of unexplained or persistent muscle pain. In this case, however, atorvastatin can be continued.
10028383
c
Atorvastatin
QuestionChoice
ACE inhibitors should be held in AKI due to the risk of hyperkalaemia. They can also alter kidney perfusion and the ability to maintain GFR.
10028381
a
Ramipril
QuestionChoice
Whilst other NSAIDs may be held in AKI, low dose aspirin is usually continued.
10028382
b
Low-dose aspirin
Concept
Chapter
2693
3752
Acute Kidney Injury
Topic
142
Nephrology
18074
In acute kidney injury, ACE inhibitors like ramipril should be temporarily discontinued to prevent worsening renal function and hyperkalaemia.
A 77-year-old male complains of fatigue and low mood following the death of his wife.


He appears very dehydrated on examination.


His renal profile is shown below:


Currently:


||||
|---------------------------|:-------:|--------------------|
|Sodium|142 mmol/L|135 - 145|
|Potassium|4.8 mmol/L|3.5 - 5.3|
|Urea|11.2 mmol/L|2.5 - 7.8|
|Creatinine|180 µmol/L|60 - 120|


 2 months ago:


||||
|---------------------------|:-------:|--------------------|
|Sodium|138 mmol/L|135 - 145|
|Potassium|4.5 mmol/L|3.5 - 5.3|
|Urea|5.7 mmol/L|2.5 - 7.8|
|Creatinine|92 µmol/L|60 - 120|

Which of his regular medications should be temporarily stopped in light of these results?
a