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This chapter is part of a book that is no longer available to purchase from Cambridge Core

Chapter R

from Drugs: An A–Z Guide

Henry G. W. Paw  and
Rob Shulman
Henry G. W. Paw
Affiliation:
York Hospital, York
Rob Shulman
Affiliation:
University College London Hospitals, London
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Summary

Ramipril is an ACE-I; ACE-Is have a beneficial role in all grades of heart failure, usually combined with a beta blocker and diuretics. Potassium-sparing diuretics (e.g. spironolactone) should be discontinued before starting an ACE-I because of the risk of hyperkalaemia. However, low-dose spironolactone may also be beneficial in severe heart failure, and, when used together with an ACE-I, serum potassium needs to be monitored closely.

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Handbook of Drugs in Intensive Care
An A-Z Guide
 , pp. 267 - 277
Publisher: Cambridge University Press
Print publication year: 2025

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  • Chapter R
  • Henry G. W. Paw, York Hospital, York, Rob Shulman, University College London Hospitals, London
  • Book: Handbook of Drugs in Intensive Care
  • Online publication: 15 January 2025
  • Chapter DOI: https://doi.org/10.1017/9781009429702.020
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  • Chapter R
  • Henry G. W. Paw, York Hospital, York, Rob Shulman, University College London Hospitals, London
  • Book: Handbook of Drugs in Intensive Care
  • Online publication: 15 January 2025
  • Chapter DOI: https://doi.org/10.1017/9781009429702.020
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Chapter R
  • Henry G. W. Paw, York Hospital, York, Rob Shulman, University College London Hospitals, London
  • Book: Handbook of Drugs in Intensive Care
  • Online publication: 15 January 2025
  • Chapter DOI: https://doi.org/10.1017/9781009429702.020
Available formats
×