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sammismilez sammismilez
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6 years ago
A woman who takes an angiotensin converting enzyme inhibitor for hypertension tells her primary care NP that she is trying to get pregnant. The NP should:
 
  a. consider replacing her angiotensin converting enzyme inhibitor with methyldopa.
  b. lower her angiotensin converting enzyme inhibitor dose during the first trimester.
  c. counsel her to increase her antihypertensive medications during pregnancy.
  d. add an angiotensin receptor blocker (ARB) during the first trimester of her pregnancy.
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#1
6 years ago
A
Angiotensin converting enzyme inhibitors, ARBs, and statins are contraindicated during the first trimester of pregnancy and should be discontinued before conception and replaced by safer alternatives, such as methyldopa. The use of antihypertensives during pregnancy remains controversial; increasing the dose is not indicated.
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