Following an acute myocardial infarction, a previously healthy 63-year-old develops clinical manifestations of heart failure. The nurse anticipates discharge teaching will include information about
a. digitalis preparations.
b. ?-adrenergic blockers.
c. calcium channel blockers.
d. angiotensin-converting enzyme (ACE) inhibitors.
ANS: D
ACE inhibitor therapy is currently recommended to prevent the development of heart failure in patients who have had a myocardial infarction and as a first-line therapy for patients with chronic heart failure. Digoxin therapy for heart failure is no longer considered a first-line measure, and digoxin is added to the treatment protocol when therapy with other medications such as ACE-inhibitors, diuretics, and ?-adrenergic blockers is insufficient. Calcium channel blockers are not generally used in the treatment of heart failure. The ?-adrenergic blockers are not used as initial therapy for new onset heart failure.
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