Lisinopril Prinivil Zestril)

INDEX Generic Name lisinopril

Trade Name Prinivil

Peak Onset 6 hr 1 hr Why is your patient taking this medication?

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency Antihypertensive

Duration 24 hr

Mechanism of action and indications Management of hypertension, CHF and Reduction of risk of death or development of CHF following MI. Slowed progression of left ventricular overt heart failure. Prevention of migraine headaches. Lowering blood pressure, decreased afterload (CHF), decreased development of overt heart failure. Increased survival after MI.

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) diuretics, antihypertensives, nitrates, phenothiazines, alcohol surgery, general anesthesia, potassium supplements, potassium-sparing diuretics, indomethacin, salt substitutes, cyclosporine, NSAIDS, antacids, lithium, digoxin. Vital Signs

Nursing Process - Assessment (Pre-administration assessment) Hypertension - monitor blood pressure and pulse

Vital signs

10 mg

PO

Once daily

For IV meds, compatability with IV drips and/or solutions

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, cross-sensitivity among ACE inhibitors may occur. Pregnancy. Exercise extreme caution in Family history of angioedema. GERI: Renal impairment, hepatic impairment, hypovolemia, hypoatremia, concurrent diuretic therapy, aortic stenosis/ hypertrophic cardiomyopathy, cerebrovascular or cariac insufficiency. Common side effects dizziness, fatigue, headache, insomnia, weakness, cough, eosinophilic pneumonitis, hypotension, angina pectoris, tachycardia, taste disturbances, anorexia, diarrhea, hepatotoxiciy (rare) nausea, proteinuria, impotence, renal failure, rashes, hyperkalemia, Agranulocytosis, angioedema, fever. Lab value alterations caused by medicine

Be sure to teach the patient the following about this medication Avoid salt substitutes or high level potassium/sodium foods. Notify if have rash mouth sores, sore throat, fever, swelling of hands or feet; irregular heart beat, chest pain, dry cougy, hoarseness, swelling of face, eyes, lips, or tongue, difficulty swallowing or breathing occur. Change position slowly - hypotension. OTC (cold remedies), caution driving and monitor blood pressure, diet. Assessment Evaluation Why would you hold or not give Check after giving this med? Decrease in BP without appearance hypotension of SE.