How Do You Approach a Patient With Kidney Disease?

A patient who has CKD4 and is on a couple of agents with some other agents being not considered as highly just because of potential risk factors. Her blood pressure is consistently 140 to 150 systolic over 90s diastolic on a loaded pne of 10 milligrams daily, which might explain the putting a DEMA. She is not on an aceran arb or diuretics for fear that it might hasten her decline in GFR. And so really this patient should be on a lot more of other medication. The reason for protoner is that there's evidence supporting that in patients who have more mild, chronic kidney disease that it would reduce her risk