pharmocology- Citalopram- medicaion template ati PDF

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Medication template to help with the breakdown of drugs into catagories that will help you study the best information...

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Medication Generic name: Lisinopril Brand name: Apo- Lisinopril (CAN), Prinivil, Zestril Classification: Antihypertensive, ACE Inhibitor Dosage & Route

Therapeutic actions

ADULTS NOT TAKING DIURETICS 

Initial dose, 10 mg/day PO. Adjust dosage based on response. Usual range is 20–40 mg/day as a single dose.

ADULTS TAKING DIURETICS   

Discontinue diuretic for 2–3 days. If it is not possible to discontinue, give initial dose of 5 mg, and monitor for excessive hypotension. CHF: 5 mg PO daily with diuretics and digitalis. Effective range: 5–20 mg/day. Acute MI: Start within 24 hr of MI with 5 mg



Lisinopril competitively inhibits angiotensin-converting enzyme (ACE) from converting angiotensin I to angiotensin II resulting in decreased levels of angiotensin II (a potent vasoconstrictor). This increases plasma renin activity and reduces aldosterone secretion. It also increases bradykinin levels.

Use of LisinoprilTreatment of hypertension alone or in combination with thiazide-type diuretics  Adjunctive therapy in CHF for patients unresponsive to diuretics and digitalis alone  Treatment of stable patients within 24 hours of acute MI to improve survival with beta blocker, aspirin, or thrombolytics 

Lisinopril- Antihypertensive, ACE inhibitor

Adverse effects Dizziness, headache, fatigue; cough, upper respiratory tract infection; rash; diarrhoea, nausea, vomiting, abdominal pain; chest pain, weakness; orthostatic effects; hypotension; hyperkalaemia; impotence; decreased haemoglobin; increased serum creatinine.  Potentially Fatal: Severe hypotension, angioedema. 

Contraindications 

History of angioedema related to previous treatment with ACE inhibitors, hereditary or idiopathic angioedema. Bilateral renal artery stenosis. Pregnancy (2nd or 3rd trimester), lactation.

Teaching points Take this drug once a day. It may be taken with meals. Do not stop taking without consulting your health care provider.  Be careful with any conditions that may lead to a drop, in blood pressure (such as diarrhea, sweating, vomiting, dehydration). If light-headedness or dizziness occurs, consult your health care provider.  Do not take this drug during pregnancy; use of contraceptive measures is advised.  You may experience these side effects: GI upset, loss of appetite, change in taste perception (may be transient; take with meals); rash; fast heart rate; dizziness, light-headedness (transient; change position slowly, and 

limit activities to those that do not require alertness and precision); headache, fatigue, sleeplessness.  Report mouth sores; sore throat; fever; chills; swelling of the hands or feet; irregular heartbeat; chest pains; swelling of the face, eyes, lips, or tongue; and difficulty breathing. References: lisinopril Nursing Considerations & Management. RNpedia. (2019, February 13). https://www.rnpedia.com/nursing-notes/pharmacology-drug-study-notes/lisinopril/. Jones & Bartlett Learning. (2020). Nurse's drug handbook....