ACE Inhibitor

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ACE Inhibitor medications such as Lotensin are angiotensin converting enzyme inhibitors. This can be used in conjunction with loop diuretics. This classification of drugs works by inhibiting the production of angiotensin II. This inhibition results in vasodilating therefore reducing arterial pressure, venous pressure, preload, and afterload on the heart. Ace inhibitors also decrease aldosterone formation which reduces sodium absorption and water retention. Reduced aldosterone puts Johnas at risk for hyperkalemia, a side effect of ACE inhibitors This can be used to treat his high blood pressure and tachycardia by reducing the need for compensation. This will allow his heart to also reach the oxygen demands and by reducing the preload this will …show more content…

This would be a surgical procedure that replaces his diseased heart with a new one. Some risks include rejection of new organ. The recipient should be given immunosuppressant medications to reduce these chances. Suppressing the immune gives you a higher risk of infection. Also according to the U.S Department of health & human Services an average of 22 people a day die waiting for a transplant.
Maybe an alternative:Some risks of a heart transplant surgery include rejection of the new organ and infection. In order to lessen the risk of rejection immunosuppressants should be given. However, suppressing the immune system increases the risk for infection. According to the US Department of Health & Human Services, an average of 22 people a day die waiting for a transplant.
If he is not a candidate for transplant, or while the patient is waiting for one, a Ventricular Assist Device (VAD) should be implanted. This works as a mechanical pump for the ventricles. He will need a BI- VAD for left and right heart failure. There will be two VAD devices placed bellow his heart, where tubes will be attached from these dives to his ventricles. The left VAD will have a tube on the left ventricle and another stemmed from VAD to Aorta. The pump will receive the blood from the left ventricle, and it will travel through the device and pump to the other tube attached to the Aorta and continue to the rest

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