Question

A. Joe, a 42-year-old woodwind musician with the symphony orchestra, is started on a generic angiotensin-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 believes 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 is starting to affect his breath cbntrol required to play his instruments. He also believes 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 occurring? 2. What is the source of his cough? 3. Why are his lips swollen and tingly? 4. What medication management decisions must be made? Be specific

Answer 1

1, Occurring is a random instance or irregular and comes into existence. In this case, occurring happened due to a lack of temporal relationship between the ACE inhibitor and the onset of angioedema(side effects).
2, Angiotensin-converting enzyme (ACE) inhibitor cause common side effects like cough, rash, and allergic reaction cause angioedema it involves in the tongue, mucous membrane, oropharynx, and perioral regions.
3, Due to ACE inhibitor medication patient had an allergic reaction it cause the upper lip to feels thick, full and tingly. It can cause some areas of your tissue to swell(angioedema). This is due to the high level of bradykinins. Angiotensin-receptor antagonists decrease bradykinin-potential activity.
4, advice the patient to stop taking the ACE inhibitor immediately. This late side effects can be treated with Nonsteroidal anti-inflammatory drugs like Advil Motrin IB and Aleve can decrease the effectiveness of ACE inhibitors. a physician can prescribe some other alternative medicine for patient high blood pressure management.