Question: A 65-year-old Caucasian male presents with comorbid congestive heart failure, gout, chronic obstructive pulmonary disease and moderate chronic renal impairment (GFR 50 ml/min). His blood pressure averages 147/92 mmHg. He is currently taking the below medications. His physical exam reveals trace pedal edema and the patient states he "feels fine." His medication list is below. Which of the following pharmaceutical agents is most appropriate to add for this patient? sacubitril/valsartan 97/103 mg BID furosemide 20 mg daily potassium chloride 10 mEq BID albuterol MDI 1-2 inhalations TID salmeterol DPI 1 inhalation BID aspirin 81 mg daily O Diltiazem Lisinopril O Nifedipine O Metoprolol Q Search. Need Online Tutoring?