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Under what circumstances would you hold an ACE inhibitor or ARB prior to surgery in a patient with CKD?

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Under what circumstances would you hold an ACE inhibitor or ARB prior to surgery in a patient with CKD?

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2 Answers
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Nephrology · Rush Medical College
Answered on

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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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

Only if potassium is high or the patient is hypotensive.

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