A prescriber orders ramipril (Altace) for an obese patient with type 2 diabetes mellitus who has developed hypertension. The nurse provides teaching before dismissing the patient home
Which statement by the patient indicates understanding of the teaching?
a. "I am less likely to develop diabetic nephropathy when taking this medication."
b. "I should check my blood sugar more often, because hyperglycemia is a side effect of this drug."
c. "Taking this medication helps reduce my risk of stroke and heart attack."
d. "This medication will probably prevent the development of diabetic retinopathy."
ANS: C
Ramipril (Altace) is approved for reducing the risk of stroke and myocardial infarction (MI) in patients at high risk for a major cardiovascular event because they have hypertension in conjunction with a history of stroke or MI or because they have diabetes. ACE inhibitors cannot be used for primary prevention of diabetic nephropathy, but they can delay the onset of overt nephropathy in patients who already have less advanced nephropathy. ACE inhibitors do not affect serum electrolytes or glucose. One ACE inhibitor, enalapril, can reduce the risk of diabetic retinopathy in some patients with type 1 diabetes mellitus.
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