HFrEF use of ACE-inhibitors

ACE-inhibitors : which line are thin in HEFrEF?

• 1st line

• 2nd line

• 3rd

ACe-i are contraindicated in

• concomitant use of NSAIDS/diuretics

• angioedema

• hypotensio/shock

• preexisting renal impairment and elderly

ACe-i - what are the risk factors for causing AKI while on them?

• concomitant use of NSAIDS/diuretics

• angioedema

• hypotensio/shock

• preexisting renal impairment and elderly

ACe-i - what are the risk factors for causing hyperkalemia while on them

• DM

• angioedema

• CKD, AKI

• preexisting renal impairment and elderly

• potassium supplements /med that raise K+ levels

who is more likely to get cough from ACe-inhibitors?

• male

• female

who is more likely to get angioedema

• male

• female

• black patients

• white patients

• smokers , seasonal allergies and cocomitant use of arni

name the labs we must obtain when using an ACe-in

• Ca++

• K+

• mg++

• LFTs

• BUN, Scr

what should we monitor for when using an ACe-in

• Ca++

• BP SBP> 100

• HR>60

has a box warning for Fetal toxicity

• Entresto

• ACEs ex lisinopril

• ARBs ex losartan

we should always assess even if there is Hypotension

• volume status

• volume depletion