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Medication Lisinopril
Medical Surgical (NUR425)
Arizona College of Nursing
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ACTIVE LEARNING TEMPLATES
Medication
STUDENT NAME _____________________________________ MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ CATEGORY CLASS ______________________________________________________________________
ACTIVE LEARNING TEMPLATE:
PURPOSE OF MEDICATION
Expected Pharmacological Action
Complications
Contraindications/Precautions
Interactions
Medication Administration
Evaluation of Medication Effectiveness
Therapeutic Use
Nursing Interventions
Client Education
Teonna Poloa Lisinopril Davis Drug Guide pg. Antihypertensive, Angiotensin converting enzyme (ACE)I inhibitor
Reduces blood pressure by selectively suppressing renin-angiotensin-aldosterone system, inhibits ACE; prevents conversion of angiotensin I to angiotensin II. Leading to vasodilation, excretion of sodium & water, retention of potassium by kidney
Give 5 mg within 24 hr of onset of symptoms, then 5 mg after 24 hr, 10 mg after 48 hr, then 10 mg/day
alcohol (large amounts), probenecide: increased hypotension. Allopurinol: increased hypersensitivity. Aspirin: decreased lisinopril effect. Cyclosporine: increased hyperkalemia. Indomenthacin: decreased antihypertensive effect. Lithium: increased levels of lithium, toxicity. Avoid high potassium diet: hyperkalemia.
Hypersensitivity, angioedema, and pregnancy (2nd and 3rd trimester. Use cautiously if: pregnant (1st trimester), breastfeeding, renal disease, hyperkalemia, renal artery stenosis, CHF, aortic stenosis.
CNS:vertigo, headache, dizziness, stroke, fatigue. CV: hypotension, sinus tachycardia, chest pain. EENT: blurred vision, nasal congestion GI: nausea, vomiting, diarrhea, hepatic failure, hepatic necrosis. GU: proteinuria, renal insufficiency, sexual dysfunction, impotence HEMA: Neutropenia, agranulocytosis RESP: dry cough, dyspnea SYST: angioedema, anaphyalaxis, toxic epidermal necrolysis MISC: rash, pruritus, hyperkalemi
Decreased blood pressure in hypertension; decreased preload, afterload in cardiac heart failure. Used for heart failure, myocardial infarction, and for clients that are at risk for a cardiovascular event (to prevent myocardial infarction, and stroke).
Monitor client's BP, monitor renal and liver function tests, monitor renal symptoms, check potassium levels throughout treatment.
Decreased blood pressure, edema, moist crackles in cardiac heart failure (CHF)
Take medication at same time every day. Avoid high potassium diet. Do not discontinue abruptly. Only use OTC cough, cold/allergy medications if directed by physician to avoid side effects. Raise slowly from a sitting or laying position. Teach patient ways to reduce BP (exercise, stop smoking, change diet, reduce stress
Medication Lisinopril
Course: Medical Surgical (NUR425)
University: Arizona College of Nursing
