NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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What should be monitored 1-2 weeks after initiating ACE inhibitors or ARBs in CKD patients?

  1. Hemoglobin levels

  2. Plasma glucose levels

  3. Serum creatinine/Potassium

  4. Urine protein levels

The correct answer is: Serum creatinine/Potassium

Keeping an eye on serum creatinine and potassium levels are important when initiating ACE inhibitors or ARBs in CKD patients because these medications can lower blood pressure and decrease glomerular pressure, potentially resulting in decreased kidney function. Hemoglobin levels, plasma glucose levels, and urine protein levels do not directly correlate with the efficacy or safety of ACE inhibitors or ARBs in CKD patients and therefore are not relevant to monitor in this specific situation.