Which instruction is most important for a patient who becomes pregnant while taking an angiotensin-converting enzyme inhibitor?

Correct answer: A. Stop the medicine and contact the prescriber promptly

  • A. Stop the medicine and contact the prescriber promptly
  • B. Continue the medicine until the next clinic visit
  • C. Take an extra dose to prevent pregnancy hypertension
  • D. Replace the medicine with an over-the-counter decongestant

Explanation

ACE inhibitors can harm the developing fetus, especially the fetal kidneys, and should be stopped under prescriber guidance when pregnancy occurs. Continuing treatment without review is unsafe, while decongestants do not provide appropriate blood pressure control.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Cardiovascular and Respiratory Drugs

Cardiovascular and respiratory drugs include antihypertensives, diuretics, antianginal agents, antiarrhythmics, cardiac glycosides, anticoagulants, bronchodilators, corticosteroids and cough medicines. Questions focus on mechanisms, indications, contraindications, toxicity and monitoring, especially the difference between drugs that reduce blood pressure, improve cardiac output or open narrowed airways.

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