A patient whose status is post-STEMI with reduced LV function is placed on lisinopril 10 mg daily. The patient asks the nurse about the rationale for the drug
Which of the following state-ments made by the nurse would be an accurate reply? "This drug will a. help you get rid of excess fluids."
b. help control your heart rate."
c. help increase the work of your heart."
d. prevent your blood pressure from getting too low."
A
The benefits of ACE inhibitors, such as lisinopril, derive from their effects in reducing preload and afterload, promoting water loss, and favorably altering ventricular remodeling. The promo-tion of water loss is reflected in the nurse's statement about getting rid of excess fluids.
ACE inhibitors, such as lisinopril, are not used to control the heart rate or to increase the work of the heart. These statements would be inaccurate.
One of the adverse effects of ACE inhibitors is hypotension, therefore this statement would be inaccurate.
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