Lisinopril - med sheet PDF

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ACTIVE LEARNING TEMPLATE:

Medication

STUDENT NAME _____________________________________

Lisinopril (Prinivil, Qbrelis, Zestril) 2 MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Angiotensin-converting enzyme (ACE) inhibitors CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action ACE inhibitors block the conversion of angiotensin I to the vasoconstrictor angiotensin II.

Therapeutic Use Used to lower blood pressure in hypertensive patients

Complications While taking this medication you may experience dizziness/drowsiness,fatigue, headache, insomnia, vertigo, weakness, cough, dyspnea, hypotension, chest pain, edema, tachycardia, abdominal pain, anorexia, constipation, diarrhea, nausea, vomiting, erectile dysfunction, renal dysfunction/failure, flushing of skin, pruritis, rashes, back pain, muscle pain, angioedema/fever

Medication Administration adult dose: initial dose 10mg once daily; can be increased to up to 20mg-40mg once daily; will need to be titrated every 2 to gradually reach maximum dose of 40mg Patients with renal impairment should start with 1.25mg starting dose, and should not exceed more than 5mg daily, titrated as needed

Contraindications/Precautions You should not use this medication if you have a history of sensitivity to ACE inhibitors; Taking this medication along with sacubitril/valsartin may increase risk of angioedema; Do not administer within 36 hours of switching to/from sacubitril/valsartin

Interactions Excessive hypotension can occur when used with diuretics or other anti-hypertensives; risk of hyperkalemia with use of potassium supplements; avoid use with angiotensin II receptor blockers; NSAIDS and certain COX-2 inhibitors may increase the risk of kidney dysfunction

Evaluation of Medication Effectiveness Blood pressure should decrease with minimal amount of side effects

ACTIVE LEARNING TEMPLATES

Nursing Interventions -Monitor blood pressure and pulse frequently during dose adjustments -Monitor frequency of refills to be sure patient is taking medication as directed -Asses patient for signs of angioedema which would include swelling of the face, lips, tongue, eyes, extremities; difficulty swallowing/breathing -Monitor weight and assess patient for signs of edema -Monitor CBC periodically

Client Education -Patient should take this medication at the same time each day; missed dose should be taken as soon as possible, but not too close to next dose(Do not double dose) -Patient should avoid salt substitutes or foods containing potassium or sodium -Patient should use caution when changing position, doing so slowly to avoid hypotension -Avoid use of alcohol -Avoid driving until you know how the medication affects you -Patient should notify primary care doctor right away if they notic rash; mouth sores; sore throat; fever; swelling of hands/feet; irregular heart beat; chest pain; dry cough; hoarseness; swelling face/lips/eyes/tongue; difficulty swallowing/breathing -Diabetics should monitor blood sugar levels closely...