Leik ACE / ARB Review part 1

A patient taking lisinopril develops a dry persistent cough. Most likely cause

ACE inhibitor side effect

A patient taking losartan reports dizziness when standing quickly. Best teaching

Rise slowly from sitting or lying positions

A pregnant patient is prescribed lisinopril. Best action

Discontinue ACE inhibitor immediately

A patient on enalapril develops swelling of the lips and tongue. Priority concern

Angioedema

A diabetic patient with hypertension is started on lisinopril for kidney protection

ACE inhibitor renal protection

A patient taking valsartan should avoid

Potassium supplements unless prescribed

A patient taking ramipril needs monitoring of

Creatinine and potassium

A patient taking lisinopril has elevated potassium. Cause

ACE inhibitor side effect

A patient develops cough after starting an ACE inhibitor. Medication likely prescribed next

ARB

A patient with heart failure is prescribed an ACE inhibitor because it

Reduces mortality and improves cardiac function

A patient taking losartan asks why kidney labs are checked. Correct response

To monitor renal function and potassium levels

A patient taking lisinopril experiences facial swelling and difficulty breathing. Immediate action

Seek emergency care

A patient asks which medication class ends in -pril

ACE inhibitors

A patient asks which medication class ends in -sartan

ARBs

A patient on lisinopril complains of dizziness after first dose. Cause

First-dose hypotension

A patient taking valsartan should report

Muscle weakness or palpitations from hyperkalemia

A patient with diabetic nephropathy is prescribed losartan because it

Protects kidney function

A patient taking enalapril should have labs checked within

3–5 days after starting medication

A patient asks why lisinopril lowers blood pressure

Blocks formation of angiotensin II

A patient asks why losartan lowers blood pressure

Blocks angiotensin II receptors

A patient taking lisinopril develops elevated creatinine. Nurse practitioner concern

Renal impairment

A patient taking valsartan should avoid salt substitutes because

Many contain potassium

A patient taking an ACE inhibitor reports persistent dry cough. Cause

Bradykinin buildup

A patient taking an ARB reports less cough than with lisinopril. Reason

ARBs do not increase bradykinin

A patient with bilateral renal artery stenosis should avoid

ACE inhibitors