University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2023
Views:

303

Pages:

1
Author:

Accinkiquicpqw

ACTIVE LEARNING TEMPLATE: Medication Losartan MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Angiotensin II Receptor Blockers (ARBs) CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II at various receptor sites, including vascular smooth muscle and the adrenal glands Therapeutic Use Lowering of BP in hypertensive patients.Decreased progression of diabetic nephropathy.Decreased incidence of stroke in patients with hypertension and left ventricular hypertrophy Complications Dizziness, fatigue, headache, insomnia, weakness, Chest pain, edema, hypotension, nasal congestion, hypoglycemia, weight gain, Diarrhea, abdominal pain, dyspepsia, nausea, impaired renal function, hyperkalemia, back pain, myalgia, Angioedema, fever Medication Administration PO (Adults) Hypertension – 50 mg once daily initially. Prevention of stroke in patients with hypertension and left ventricular hypertrophy– 50 mg once daily initially; Nephropathy in patients with type 2 diabetes – 50 mg once daily, up to 100 mg once daily depending on BP response.PO (Children 6 yr) Hypertension – 0.7 mg/kg once dailyAdditive Contraindications/Precautions Contraindicated in: Hypersensitivity, Bilateral renal artery stenosis, Can cause injury or death of fetus, Lactation: Discontinue drug Precaution: Volume- or salt-depleted patients or patients receiving high doses of diuretics, Impaired renal function due to primary renal disease or heart failure, Hepatic impairment, Women of childbearing potentia Interactions Additive hypotension with other antihypertensives .Excessive hypotension may occur with concurrent use of diuretics . Increase risk of hyperkalemia with concurrent use of potassium supplements, potassium-containing salt substitutes, or potassium-sparing diuretics Rifampin may decrease antihypertensive effects Nursing Interventions Assess patient for signs of angioedema (dyspnea, facial swelling). May rarely cause angioedema.Assess BP (lying, sitting, standing) and pulse frequently during initial dose adjustment and periodically during therapy. Client Education Evaluation of Medication Effectiveness Decrease in BP without appearance of excessive side effects.Delayed progression of diabetic nephropathy in patients with type 2 diabetes.Decreased incidence of stroke in patients with hypertension and left ventricular hypertrophy. Instruct patient to notify health care professional if swelling of face, eyes, lips, or tongue or if difficulty swallowing or breathing occur.Advise women of childbearing age to use contraception and notify health care professional if pregnancy is planned or suspected, or if breastfeeding.Emphasize the importance of follow-up exams to evaluate effectiveness of medication.