Lisinopril - Med card PDF

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Summary

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ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

Lisinopril MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ ACE inhibitor CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Lowers blood pressue by inhibiting conversion of angiotensin I to angiotensin II

Therapeutic Use Antihypertensive

Complications Ataxia, confusion, CVA, depression, dizziness, fatigue, headache, hallucinations, insomnia, irritability, memory impairment, mood alterations, nervousness, hypotension, MI, orthostatic hypotension, palpitations, peripheral edema, hyperglycemia, blurred vision, dry mouth, photophobia, abdominal pain, anorexia, constipation, diarrhea, flatulence, gastritis, hepatitis, indigestion, nausea, pancreatitis, vomiting, acute renal failure, herpes zoster, infections, pruritis, rash, Stevens-Johnson syndrome, anaphylaxis, angioedema, dehydration, gout, hyperkalemia, hyponatremia, weigh gain or loss

Medication Administration PO: 5-10 mg daily (max: 80 mg/day) Tablet

Contraindications/Precautions History of angioedema related to previous treatment with an ACE inhibitor; hypersensitivity to lisinopril, other ACE inhibitors or their components; pregnancy, lactation.

Interactions Indomethacin, NSAIDs, sympathomimetics, high potassium diet, potassium-containing salt substitutes, alcohol use, lithium lels and toxicity.

Nursing Interventions Do not give to a patient who is hemodynamically unstable after an MI; monitor patient for anaphylaxis; notify prescriber if patient has a persistent, nonproductive cough; monitor for dehydration, monitor patients serum potassium level; measure BP prior to medicating.

Client Education Evaluation of Medication Effectiveness Blood pressure will return to normal limits

ACTIVE LEARNING TEMPLATES

Explain drug helps to control but doesn't cure HTN, inform patient to take drug at the same time every day (very important); emphasize the need to take the drug as ordered. Instruct patient to report nonproductive cough, advise patient to drink plenty of fluids and avoid excessive sweating; caution patient not to use salt substitutes that contain potassium....