Anaphylactoid Reaction to ACE Inhibitors
observe for hypotension in a patient on ACE inhibitors when they receive blood or blood product transfusion especially with Leucodepletion filter.
flushing and hypotension in patients on ACE inhibitors
Prekallikrein present in blood and blood product is converted to vasoactive bradykinin whose metabolism is inhibited by ACE inhibitors resulting in hypotension.
Therapeutic plasma exchange with albumin replacement
Contact of plasma with dialysis membrane