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Topics:
General Internal Medicine
•
Chronic kidney disease
•
Nephrology
Under what circumstances would you hold an ACE inhibitor or ARB prior to surgery in a patient with CKD?
Answer from: at Academic Institution
Only if potassium is high or the patient is hypotensive.
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Answer from: at Academic Institution
I suppose if it was a high risk for hypotension or fluid shift, I may hold it. I'd rather be a bit hypertensive than under-perfused. If they are being used for reno protection, getting off them for a short period will have no influence.
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