【喜葉】評論

回樓上，以下我猜想 XDACEI 對腎動脈狹窄者，會引起腎衰竭 (但題目沒提到)不然他其實還算可以保護腎臟(減少蛋白尿而NSAIDS的話，會使腎絲球入球小動脈收縮，減少灌流，再遇上HF，比較容易導致急性腎衰

【hsiu】評論

請問為甚麼不會是(C)已經服藥一個月的 lisinopril 造成的急性腎衰竭呢?

【OOO】評論

An increase in SCr of up to 30% is expected in the first two to five days of therapy with an ACE inhibitor. This effect will stabilize after a few weeks of therapy and remain until discontinuation of the drug.5 Treatment with an ACE inhibitor should be stopped if SCr increases by more than 30% and reduced if reinitiated. A mild decrease in renal function due to ACE inhibitors is acceptable due to the benefits that result from long-term therapy.Howell, H. R., M. L. Brundige, and L. Langworthy. "Drug-induced acute renal failure." US PHARMACIST 32.3 (2007): 45.都已經使用一個月了，沒事就是沒...

【ccc200】評論

簡單來說，若使用ACEI/ARB短期可能造成急性腎損傷，長期使用卻是可以護腎唷