A 54-year-old woman comes to the physician for a follow-up examination. She has a hsitory of hypertension and takes her medication regularly. Her temperature is 37.3°C (99.1°F), pulse is 93/min, and blood pressure is 142/93 mm Hg. Examination shows no abnormalities. She does yoga and pilates two times a week. She is sexually active with her husband and uses condoms inconsistently. Serum laboratory results are as follows: Review of the patient's medical records shows similar serum laboratory results 6 months ago. Which of the following medications should be avoided in this patient?

Question

A 54-year-old woman comes to the physician for a follow-up examination. She has a hsitory of hypertension and takes her medication regularly. Her temperature is 37.3°C (99.1°F), pulse is 93/min, and blood pressure is 142/93 mm Hg. Examination shows no abnormalities. She does yoga and pilates two times a week. She is sexually active with her husband and uses condoms inconsistently. Serum laboratory results are as follows:  Review of the patient's medical records shows similar serum laboratory results 6 months ago.  Which of the following medications should be avoided in this patient?

Quizplus · Accepted Answer

Eductional Objective: ACE inhibitors block the conversion of angiotensin I to angiotensin II, thereby reducing vasoconstriction and aldosterone secretion.  Decreased aldosterone leads to potassium retention, which can cause hyperkalemia, especially in patients with renal insufficiency and those taking other medications that raise potassium levels (eg, angiotensin II receptor blockers, mineralocorticoid receptor blockers).

A 54-Year-Old Woman Comes to the Physician for a Follow-Up