1 MCQs in Medicine for NEET PG
A 68-year-old man with ischaemic cardiomyopathy (ejection fraction 28%) and chronic kidney disease (eGFR 35 mL/min/1.73m²) is on lisinopril, carvedilol, and spironolactone. He develops worsening dyspnoea and orthopnoea despite diuretic escalation. Serum sodium is 128 mEq/L, potassium 5.8 mEq/L, and BNP 850 pg/mL. Which of the following is the most appropriate next step in management?
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