INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name
benazepril Lotensin antihypertensives 10 mg PO

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions

Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Hypertension, alone or in combination with
thiazide diruetics
suppresses renin-angiotensin-aldosterone system
Inhibits ACE; preventing conversion of angiotensin 1
to angiotensin 2
Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
phenothiazines, nitrates, alcohol, diuretics, other
antihypertensives, potassium-sparing diuretics, potassium
supplements, digoxin.
Contraindications/warnings/interactions Pregnancy; impaired renal, hepatic
function, dialysis patients, hypovolemia, blood dyscrasias, CHF, COPD, asthma,
elderly, bilateral renal artery stenosis.
Common side effects Anxiety, insomnia, paresthesia, headache, dizziness
fatigue, hypotension, postural hypotension, palpations, angina, nausea,
constipation, vomiting, gastritis, decreased libido, impotence, urinary tract
infection, rash, flushing, sweating, hyperkalemia, hyponatremia, angioedema,
cough, asthma, bronchitis, dyspnea, sinusitis
Lab value alterations caused by medicine
inc. levels of lithium, glucose, uric acid, potassium
Be sure to teach the patient the following about this medication
No OTC cough, cold, allergy meds; No potassium supplements; Rise slowly when
sitting or lying; notify physician of mouth sores, sore throat, fever, swelling hands,
or feet, irregular heartbeat, chest pain; report excessive perspiration, dehydration,
vomiting, diarrhea.

Nursing Process - Assessment Assessment Evaluation

(Pre-administration assessment) Why would you hold or not give Check after giving
Vital Signs this med?
Cough Decrease in Blood Pressure
rash, fever, pruritus, urticaria, polyuria, oliguria, Allergic reaction
frequency, dysuria, edema in feet, legs daily,
weight daily in CHF