A doctor orders nine units /kg/hr for a Heparin infusion. The patient weighs 76 kg. You're supplied with a Heparin bag that reads 50 untis/mL. How many mL/hr will you administer? |Round your answer to the nearest tenths)

A) Simvastatin:
Simvastatin is a medication used to lower cholesterol levels by inhibiting HMG-CoA reductase, an enzyme involved in the production of cholesterol in the liver. It is not an angiotensin-converting enzyme (ACE) inhibitor. Therefore, it does not have a direct effect on blood pressure or the renin-angiotensin system.

B) Losartan:
Losartan is an angiotensin II receptor blocker (ARB), not an ACE inhibitor. Like ACE inhibitors, ARBs are used to treat conditions like hypertension and heart failure, but they work differently by blocking the receptors that angiotensin II binds to, rather than inhibiting the enzyme that converts angiotensin I to angiotensin II.

C) Quinapril:
Quinapril is an ACE inhibitor. ACE inhibitors block the enzyme angiotensin-converting enzyme, which converts angiotensin I into angiotensin II, a potent vasoconstrictor. By inhibiting this conversion, ACE inhibitors like quinapril help lower blood pressure, reduce strain on the heart, and treat conditions like hypertension and heart failure.

D) Metoprolol:
Metoprolol is a beta-blocker, not an ACE inhibitor. It works by blocking beta-adrenergic receptors in the heart, which helps to lower heart rate and blood pressure. It is often used in the management of hypertension, heart failure, and to prevent heart attacks, but it does not affect the renin-angiotensin system like ACE inhibitors.

A) High protein diet:
While a healthy diet is essential for managing heart disease, a high-protein diet is not specifically recommended as a nonpharmacologic control for heart disease. A balanced diet that includes adequate protein, healthy fats, and low saturated fats, while being high in fruits, vegetables, and whole grains, is more beneficial for heart health.

B) Decrease exercise:
Decreasing exercise is not recommended for heart disease management. In fact, regular physical activity is a key aspect of preventing and managing heart disease. Moderate exercise, such as walking, swimming, or cycling, helps improve cardiovascular health by lowering blood pressure, improving cholesterol levels, and reducing stress.

C) Smoking cessation:
Smoking cessation is one of the most important nonpharmacologic strategies for managing heart disease. Smoking is a major risk factor for heart disease because it damages the blood vessels, increases blood pressure, and promotes the formation of blood clots. Quitting smoking can significantly reduce the risk of heart disease, improve circulation, and lower the risk of heart attack and stroke.

D) Increase water intake:
While staying hydrated is important for overall health, there is no specific evidence to suggest that increasing water intake directly controls heart disease. However, maintaining proper hydration supports kidney function and circulatory health, and can assist with managing blood pressure.