Leik ACE / ARB Review part 2

A patient asks which antihypertensive is safest in pregnancy

ACE inhibitors and ARBs are contraindicated

A patient taking lisinopril reports dizziness and weakness. Lab to assess

Potassium level

A patient taking ramipril develops swelling of the airway. Condition

Angioedema

A patient with hypertension and diabetes is prescribed lisinopril because it

Protects kidneys and lowers blood pressure

A patient taking candesartan reports palpitations. Possible cause

Hyperkalemia

A patient asks what to avoid while taking losartan

Potassium supplements and salt substitutes

A patient on lisinopril develops severe facial swelling. Priority intervention

Discontinue medication and seek emergency treatment

A patient asks which medication class commonly causes dry cough

ACE inhibitors

A patient asks which medication class is used when ACE inhibitors are not tolerated

ARBs

A patient taking enalapril experiences lightheadedness after standing. Teaching

Stand slowly to prevent orthostatic hypotension

A patient taking valsartan should have which labs monitored

BUN, creatinine, and potassium

A patient taking lisinopril asks why blood pressure improves

Vasodilation from decreased angiotensin II

A patient taking losartan asks why potassium is monitored

Risk of hyperkalemia

A patient taking an ACE inhibitor reports swelling of the lips. Priority diagnosis

Angioedema

A patient asks which antihypertensive protects kidneys in diabetes

ACE inhibitors or ARBs

A patient taking lisinopril asks why cough occurs

Bradykinin accumulation

A patient develops hyperkalemia while taking valsartan. Contributing factor

Potassium retention

A patient taking ramipril should notify provider immediately for

Tongue swelling or breathing difficulty

A patient asks why ACE inhibitors help heart failure

Reduce workload on the heart

A patient asks why ARBs are prescribed after ACE inhibitor cough

Lower risk of bradykinin-related cough

A patient taking lisinopril should avoid over-the-counter

Potassium-containing supplements

A patient taking losartan develops dizziness. Most likely cause

Hypotension

A patient asks what ACE inhibitors decrease

Aldosterone secretion

A patient asks what happens when aldosterone decreases

Less sodium and water retention

A patient taking enalapril should be monitored closely for

Hyperkalemia and renal function changes