Active Learning Template medication - Lisinopril-signed PDF

Preview

Summary

ATI medication template Lisinopril...

Description

ACTIVE LEARNING TEMPLATE:

Medication

Theresa Henderson STUDENT NAME _____________________________________ Lisinopril MEDICATION __________________________________________________________________________

MI REVIEW MODULE CHAPTER ___________

Antihypertensive, Angiotensin converting enzyme (ACE) I Inhibitor CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Reduces blood pressure by selectively suppressing renin-angiotensin-aldosterone system, inhibits ACE; prevents conversion of angiotensin I to angiotensin II. Leading to vasodilation, excretion of sodium & water, retention of potassium by kidneys.

Therapeutic Use Decreased blood pressure in hypertension; decreased preload, afterload in cardiac heart failure. Used for heart failure, myocardial infarction, and for clients that are at risk for a cardiovascular event (to prevent myocardial infarction, and stroke).

Complications

Medication Administration

CNS:vertigo, headache, dizziness, stroke, fatigue. CV: hypotension, sinus tachycardia, chest pain. EENT: blurred vision, nasal congestion GI: nausea, vomiting, diarrhea, hepatic failure, hepatic necrosis. GU: proteinuria, renal insufficiency, sexual dysfunction, impotence HEMA: Neutropenia, agranulocytosis RESP: dry cough, dyspnea SYST: angioedema, anaphyalaxis, toxic epidermal necrolysis MISC: rash, pruritus, hyperkalemia

Give 5 mg within 24 hr of onset of symptoms, then 5 mg after 24 hr, 10 mg after 48 hr, then 10 mg/day.

Contraindications/Precautions Hypersensitivity, angioedema, and pregnancy (2nd and 3rd trimester. Use cautiously if: pregnant (1st trimester), breastfeeding, renal disease, hyperkalemia, renal artery stenosis, CHF, aortic stenosis.

Interactions alcohol (large amounts), probenecide: increased hypotension. Allopurinol: increased hypersensitivity. Aspirin: decreased lisinopril effect. Cyclosporine: increased hyperkalemia. Indomenthacin: decreased antihypertensive effect. Lithium: increased levels of lithium, toxicity. Avoid high potassium diet: hyperkalemia.

Evaluation of Medication Effectiveness Decreased blood pressure, edema, moist crackles in cardiac heart failure (CHF)

ACTIVE LEARNING TEMPLATES

Nursing Interventions Monitor client's BP, monitor renal and liver function tests, monitor renal symptoms, check potassium levels throughout treatment.

Client Education Take medication at same time every day. Avoid high potassium diet. Do not discontinue abruptly. Only use OTC cough, cold/allergy medications if directed by physician to avoid side effects. Raise slowly from a sitting or laying position. Teach patient ways to reduce BP (exercise, stop smoking, change diet, reduce stress).

Theresa Henderson THERAPEUTIC PROCEDURE

A7...