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Pharmacology Hematology and CVS 5df95834

In which of the following patients would enalapril be the best first line agent for high blood pressure control?

A
A 62 year old man with renal aery stenosis
B
A 32 year old pregnant female
C
A 41 year old woman with hyperkalemia
D
A 56 year old diabetic woman
High-Yield Explanation
Enalapril ACE inhibitor. Lowers the risk of Diabetic nephropathy Prodrug which is conveed to Enalaprilat, its active form. This active form is also available as a intravenous formulation. It is given when oral drug is contraindicated. It is also used in hypeensive urgencies ACE inhibitors are contra-indicated in: Bilateral renal aery stenosis Pregnancy Hyperkalemia.

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