Which medication is contraindicated for a patient receiving a renal angiogram?

Prepare for the Adult–Gerontology Acute Care Nurse Practitioner Certification (AGACNP) Test. Practice with comprehensive quizzes, gain confidence with detailed explanations, and excel in your exam!

The choice of an ACE inhibitor as contraindicated for a patient undergoing a renal angiogram is grounded in the potential for renal impairment and the risk of acute kidney injury. ACE inhibitors can lead to a reduction in renal perfusion, particularly in patients who may already have compromised renal function or in the context of renal artery stenosis. When a renal angiogram is performed, contrast media are typically used, which may further compromise renal function, particularly in predisposed individuals. Using an ACE inhibitor during this procedure could exacerbate renal issues, making it a point of concern for healthcare providers.

In addition, renal angiograms are often used to assess blood flow and anatomical abnormalities in the renal arteries. If an ACE inhibitor is administered prior to this procedure and renal function becomes further impaired, it may complicate the interpretation of angiographic results and patient management. Hence, it is crucial to avoid ACE inhibitors in such scenarios to mitigate these risks and preserve renal function.

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