Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
action |
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Definition
*blocks production of angiotensin II
*vasodilation (arteriole)
*excretes Na and H2O
*retains K |
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Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
therapeutic uses |
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Definition
HF
HTN
MI
nephropathy
prevention of cardiovascualar (MI, CVA) event for hi-risk patients (ramipril) |
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Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
side/adverse effects |
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Definition
1st dose orthostatic hypotension
dry cough
hyperkalemia
rash/dysgeusia
angioedema
neutropenia (captopril) |
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Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
contraindications/precautions |
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Definition
Preg risk Cat D 2nd/3rd tri
renal stenosis
renal impairment
hx of angioedema after ACE inhib use
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Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
medication/food interactions |
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Definition
*diuretics contribute to 1st dose hypotension
*use of add. hypotensive meds incr effects
*K+ suppl
*K+ sparing diuretics
*lithium-ACE inhib incr lithium levels
NSAIDs dcr effects of ACE inhib |
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Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
nursing interventions/client education |
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Definition
*may be used alone or in combination with hydrochlorothiazide
*monitor bp for 2 hrs after 1st dose
*captopril should be taken 1 hr before meals
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Term
ACE Inhibitors
(captopril, enalapril, fosinopril, lisinopril, ramipril)
nursing eval of med effectiveness |
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Definition
*dcr bp
*incr ability to perform ADLs
*improvement of HF
*improvement in renal function
*dcr proteinuria |
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