Nclex 준비- ACE inhibitor vs ARB

안녕하세요 예비 미국 간호사 선생님들
이번에는 ACE inhibitor (ending with "-pril") vs ARB (ending with "-sartan")에 대해 공부해봅시다.
이 문제는 보통 Below passing level입니다.

ACE inhibitor 이란, angiotensin-converting znysme inhibitor

Rule #1. Increased K+ and Cr
- (Orthostatic) Hypotension (Dizziness)

• Move/get up Slowly

- high K+: by decreasing urinary K+ excretion
- high Cr: Renal impirment


Rule #2. Swallen tongue = life threatening
- Angio-edema
- Airway obstruction
- Stop drug infusion and report to MD
- Most common in African American

Rule #3 외워 "Diltiazem"
- given for Afib
- Ventricular rate control Priority

ARB 이란, angiotensin 2 receptor blocker is given for who is unable to take ACE inhibitors


Rule #1. Hypertension drug
- Prevent vasoconstriction

Rule #2. NO both ACE inhibitor and ARB given for "pregnancy"
- Tetratogenic


** Nitroglycin is nomally given for Angina or Ischemia (CAD) as vasodilation.
- Take upto 3 pills in 15 min interval
- Notify MD if it does not work