This is a draft cheat sheet. It is a work in progress and is not finished yet.
PROTOTYPE DRUG
lisinopril |
(Prinivil, Zestril) |
NURSE'S ROLE
Monitor CBC |
Assess for hypotension |
MONITOR FOR: |
| |
Impaired kidney function |
| |
hyperkalemia |
| |
autoimmune disease |
PATIENT TEACHING: |
| |
Blocks breakdown of bradykinin, thus increased levels of can cause DRY COUGH |
| |
Therapeutic response time: Weeks or months |
| |
Sodium & potassium restrictions |
| |
Don't use with other medications; OTCs, herabls, vitamins |
|
|
ACE Inhibitors "-olol"
ACE INHIBITORS are the drug of choice for HF |
Reduce afterload |
Increase cardiac outputEnhance excretion of NA+ and water -Lower peripheral resistance and reduce blood volume |
Reduce cardiac output |
|
|
PRIMARY USE
Decrease BP & reduce blood volume |
Dilates veins |
ADVERSE EFFECTS
First-dose hypotension |
Cough |
Hyperkalemia |
Renal Failure |
|
|
MECHANISM OF ACTION
Blocks conversion of Angiotensin I to Angiotensin II by inhibiting angiotensin-converting enzyme (ACE) in the lungs |
Remember Angiotensin II is responsible for constricting arteries and veins by binding to Angiotensin I receptors, thus blocking will lead to dilation of the veins and arterie; |
improves blood flow and decreases blood volume |
Reduces preload and afterload |
|
