NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

Lisinopril Prinivil, Antihypertensives 40 mg PO Q AM
Zestril
Peak Onset Duration Normal dosage range
6 hr 1 hr 24 hr 10 mg once daily, may be increased as required range
20-40 mg once daily, maximum 80 mg/day.
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Treatment of hypertension solutions
N/A

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

(Why med ordered) Contraindications/warnings/interactions
ACE inhibitors block the conversion of angiotensin I to Hypersensitivity. Use cautiously in Geriatric patients.
the vasoconstrictor angiotensin II. ACE also inactivates
the vasodilator bradykinin and other vasodilatory Common side effects
prostaglandins. ACE inhibitors also increase plasma Dizziness, fatigue, headache, insomnia, weakness,
rennin levels and reduce aldosterone levels. Net result is cough, hypotension, taste disturbances, proteinuria, fever.
systemic vasodilation.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Serum K may be increased and BUN and creatinine
Excessive hypotension may occur with concurrent use of transiently increase. NA may be decreased. CBC, may
diuretics, other antihypertensives. Hyperkalemia may see a slight decreases in hemoglobin and hematocrit but
result from concurrent use of potassium supplements. it is rare. May cause increase in AST, ALT, alkaline
phosphatase, serum bilirubin, uric acid, and glucose.
Be sure to teach the patient the following about this
medication
Take meds as directed at the same time each day even if
feeling well. Do not discontinue ACE inhibitor therapy
unless directed by health care professional. Avoid salt
substitutes or foods containing high levels of K or NA.
Change positions slowly may cause dizziness.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor BP & Pulse. med? Decrease in BP Decrease
Pulse <60 in signs and symptoms.

BP <100 systolic