Mod to severe kidney fail

Question

Asked for Female, 77 Years

She has hypertension on treatment with Tab olmezest 20 MG in morning and Tab Amlokind 5 mg in the night No DM, has hypothyroidism on eltroxin. Underwent spine surgery 1 year back and takes pain killers for back pain like diclofenac, Paracetamol, Ezact Mr. Her kidney function is impaired as per the reports done last week. Her eGFR = 36 blood urea nitrogen =40.57 creatinine = 1.4 bun/sr creatinine ratio 28.98 Can she continue taking olmezest and amlodipine for her hypertension or does she need to shift to some other anti hypertensive? She has stopped taking pain killers now except for occasional Tramadol tabs. What can be done to improve her kidney functions. Kindly advise.

Answers (1)

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Dr. Anand Kalaskar General Physician 26 yrs exp Pune · Accepted Answer

Dr. Anand Kalaskar

General Physician 26 yrs exp Pune

Diuretics can be added, like olmezest H, fluid intake and output data, Get her USG abdomen done.

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