CASE: 57 yr old obese female with DM and HTN. Starts lisinopril 10mg daily for HTN. eGFR = 46ml/min at baseline. BP now 132/72 but serum K increases from 4.5 to 5.2 mg/dL. What would you do next?

  • Discontinue lisinopril (11%, 29 Votes)
  • Continue lisinopril, repeat labs in 1 week (39%, 101 Votes)
  • Reduce lisinopril dose to 5mg daily, repeat labs in 2 weeks (44%, 114 Votes)
  • Switch lisinopril to ARB, repeat labs in 2 weeks (6%, 17 Votes)

Total Voters: 261

Start Date: August 23, 2022 @ 10:28 PM
End Date: No Expiry

CASE: 26 yr old with asthma on SABA only. Severe exacerbation 3 months ago requiring ER visit. Only mild intermittent sx since tx'd with SABA. No SOB today. What next? [Select all that apply]

  • Review inhaler technique and action plan - educate as needed (32%, 29 Votes)
  • Add daily low-dose ICS (20%, 18 Votes)
  • Switch SABA to PRN LABA-ICS or SABA-ICS (35%, 32 Votes)
  • Switch SABA to PRN LABA-ICS plus daily low-dose ICS (13%, 12 Votes)

Total Voters: 66

Start Date: July 29, 2022 @ 8:33 AM
End Date: August 23, 2022 @ 10:36 PM

CASE: 60 year obese (BMI=35.2) man with impaired fasting glucose, AST=98, ALT=61, and FIB-4 score=3.24. On lisinopril-HCTZ 20-12.5 for BP. BP today = 136/78. What next? [Select all that apply]

  • Smoothly sailing! Continue Lisinopril-HCTZ at current dose. (11%, 12 Votes)
  • Double Lisinopril-HCTZ dose to 40-25 (16%, 18 Votes)
  • Start semaglutide SC 2.4mg Qweek (23%, 26 Votes)
  • Refer to dietician and structured weight loss program (50%, 55 Votes)

Total Voters: 81

Start Date: June 27, 2022 @ 9:08 AM
End Date: No Expiry

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