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ace inhibitors (angiotensin converting enzyme)
ace inhibitors (angiotensin converting enzyme)
7
Nursing
Not Applicable
02/25/2011

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Cards

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

action

Definition

*blocks production of angiotensin II

*vasodilation (arteriole)

*excretes Na and H2O

*retains K

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

therapeutic uses

Definition

HF

HTN

MI

nephropathy

prevention of cardiovascualar (MI, CVA) event for hi-risk patients (ramipril)

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

side/adverse effects

Definition

1st dose orthostatic hypotension

dry cough

hyperkalemia

rash/dysgeusia

angioedema

neutropenia (captopril)

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

contraindications/precautions

Definition

Preg risk Cat D 2nd/3rd tri

renal stenosis

renal impairment

hx of angioedema after ACE inhib use

 

 

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

medication/food interactions

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

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

nursing interventions/client education

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

 

Term

ACE Inhibitors

(captopril, enalapril, fosinopril, lisinopril, ramipril)

nursing eval of med effectiveness

Definition

*dcr bp

*incr ability to perform ADLs

*improvement of HF

*improvement in renal function

*dcr proteinuria

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