Medication Administration Tool (MAT)

Student Name: Asia Andrew-Bey SW Lisinopril (Prinivil) 10 mg 1 Tab PO BID Lisinopril/Prinivil Drug Classification: ACE inhibitor, Antihypertensive Date: 10-19-2011 Allergies: NKDA Unique Pt. Identifier: Medication Order: Brand/Generic Name:

RIGHT PATIENT Why does the patient need this medication? How does it relate to or help with their diagnosis? RIGHT MEDICATION How does this medication work?

MEDICATION INFORMATION To manage uncomplicated essential hypertension Patient has a history of hypertension and Coronary artery disease. The pt also has a cardiac stent. May reduce blood pressure by inhibiting the conversion of angiotensin I to angiotensin II. Angiotensin II is a potent vasoconstrictor that also stimulates the adrenal cortex to secrete aldosterone. Lisinopril may also inhibit renal and vascular production of angiotensin II. Decreased release of aldosterone reduces sodium and water reabsorption and increases their excretion, thereby reducing blood pressure. Skin color, lesions, turgor, temperature, pulse, BP, liver evaluation, urinalysis, liver function test, renal function test, CBC and differential, potassium, peripheral perfusion, mucous membranes, bowel sounds, monitor blood glucose level. No No Inform pt Lisinopril helps control but doesnt cure hypertension. Take lisinopril same time every day. Do not to stop drug without consulting physician. Report dizziness, especially during the first few days of therapy. Inform pt that a persistent, nonproductive cough may develop during lisinopril therapy. Notify physician immediately if cough becomes difficult to tolerate. Advise pt to drink adequate fluid. Diarrhea, vomiting, and excessive sweating, can lead to dehydration and hypotension. Caution pt not to use salt substitutes that contain potassium. Instruct patient to report signs of infection, such as fever and sore throat, which may indicate neutropenia. Advise pt to change position slowly to minimize the effects of orthostatic hypotension. If pt has diabetes and takes insulin or an oral antidiabetic, monitor her blood glucose level closely and watch for symptoms of hypoglycemia. No Yes. Adult dose= 10mg/day PO. Usual range is 20-40mg/day as a single dose. Yes No Headache, dizziness, insomnia, fatigue, orthostatic hypotension, gastric irritation, nausea, angioedema, airway obstruction, cough, pulmonary embolism and infarction, upper respiratory tract infection, diarrhea, vomiting, confusion, headache. N/A

Are there any assessments needed prior to or after administering this medication? Allergies to this medication? Is this medication contraindicated for this patient? Patient teaching completed/documented?

RIGHT TIME Does this medication time need to be adjusted? (i.e. meals, labs, etc.) RIGHT DOSE Is the prescribed dose safe (single and 24 hr. dose)? Is the calculated dose correct? Is there a therapeutic drug level that I should verify for this medication prior to its administration? Are there adverse/toxic effects? What is the minimum safe dilution, infusion rate, and compatibility for this medication? RIGHT ROUTE Is it safe to administer this medication via the prescribed route? Can this medication be crushed or administered in another format better suited for this patient? If gastrointestinal tube, is placement verified? Appropriate site for injection?

Yes Yes N/A N/A

MAT Rev: 7/28/11