University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2021
Views:

138

Pages:

1
Author:

esfredint7qo

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ Lisinopril MEDICATION __________________________________________________________________________ ACE inhibitor CATEGORY CLASS ______________________________________________________________________ REVIEW MODULE CHAPTER ___________ 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.