Question

A. Joe, a 42-year-old woodwind musician with the symphony orchestra, is started on a gener dingiersay-Converting enzyme (ACE) inhibitor for his newly diagnosed hypertension. He returns to the clinic the following week and demonstrates that his original blood pressure of 150/90 mm Hg has improved to 130/80 mm Hg He denies chest pain, orthostasis, or peripheral edema, He beleves that the medication is working well As he is getting ready to leave, he mentions that he appears to be "catching a cold He has a persistent, but nonproductive cough. It isS starting to atect his breath control required to play his instruments, He also belieyes it is a cold because his upper lip feels thick, full, and a bit tingly as if he is getting a cold sore 1. What is occuring? 2. What is the source of his cough? 3. Why are his Vps swollen and tingly? 4. What medication manapement decisions must be made? Be specitic

Answer 1

1. The patient is getting cough and angioedema because of ACE inhibitors because these drugs break down the bridykinin and inflammatory inhibitor, which inturn leads to COPD like symptoms and angioedema.

2. The source of cough is antihypertensive medication ACE inhibitors.

3. The lips are swollen because of side effects of ACE inhibitors, angioedema, it is a life threatening hypersensitivity reaction, needs immidiate attention.

4. The management of the medication is immidiate discontinuation of ACE inhibitors and substitution of any other antihypertensive medication like calcium chennel blockers or diuretics.