Kentucky Medication Aide (KMA) State Practice Exam

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Which of the following is commonly monitored for patients taking Captopril?

  1. Cholesterol levels

  2. Kidney function

  3. Pulse

  4. Blood glucose

The correct answer is: Kidney function

Captopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat hypertension and heart failure. One important aspect of managing patients on Captopril is the monitoring of kidney function. This is because ACE inhibitors can affect renal blood flow and may lead to changes in kidney function, especially in patients who have pre-existing renal issues or are dehydrated. Monitoring kidney function typically involves checking serum creatinine levels and assessing the glomerular filtration rate (GFR). These tests help ensure that the medication is not adversely affecting kidney health. Additionally, monitoring kidney function is crucial to avoid complications such as acute kidney injury that can arise from changes in blood pressure and renal perfusion associated with Captopril use. Cholesterol levels, pulse, and blood glucose are less directly associated with the specific effects or side effects of Captopril, making them less critical to monitor in this context compared to kidney function.