What should a nurse assess before giving lisinopril?

Examination and Evaluation Assess blood pressure periodically and compare to normal values (See Appendix F) to help document antihypertensive effects. Report low blood pressure (hypotension), especially if patient experiences dizziness or syncope.

What are the nursing considerations and patient teaching for ACE inhibitors?

Nursing considerations Give potassium supplements and potassium-sparing diuretics cautiously because ACE inhibitors can cause potassium retention and hyperkalemia. Warn the patient to avoid potassium-containing salt substitutes. Give captopril and moexipril 1 hour before meals.

What should you monitor when taking ACE inhibitors?

When you start on an ACE inhibitor, you will need blood tests to monitor your kidney function and potassium levels. Be aware: If you take an ACE inhibitor, keep a written log of your heart rate (pulse) and blood pressure. Track your heart rate by taking your pulse daily.

What do you assess for lisinopril?

Monitoring Parameters BP, heart rate; BUN, serum creatinine, and potassium; consider baseline LFTs (if preexisting hepatic impairment); monitor for jaundice or signs of hepatic failure; if patient has collagen vascular disease and/or renal impairment, periodically monitor CBC with differential.

What is the most common side effect patients complain of when taking lisinopril?

Lisinopril side effects One of the most common side effects of lisinopril is a dry cough, which affects 1 in 10 patients.

What important teaching points should be reinforced for a client taking lisinopril?

Avoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Lisinopril can decrease sweating and you may be more prone to heat stroke. Do not use potassium supplements or salt substitutes, unless your doctor has told you to.

What are ACE inhibitors nursing?

Angiotensin converting enzyme inhibitors, or ACE inhibitors for short, are a group of medications that help decrease blood pressure and are typically used to treat hypertension or heart failure, but they can be also administered to clients who have recently had a myocardial infarction.

What is the most common side effect of ACE inhibitors and how is it managed?

ACE inhibitors and bradykinin ACE inhibitors block the breakdown of bradykinin, causing levels of this protein to rise and blood vessels to widen (vasodilation). Increased bradykinin levels are also responsible for the most common side effect of ACE inhibitor treatment; a dry cough.

What are side effects of ACE inhibitors?

Side effects of ACE inhibitors may include:

Dry cough.
Increased potassium levels in the blood (hyperkalemia)
Fatigue.
Dizziness from blood pressure going too low.
Headaches.
Loss of taste.

When should I check BMP after starting lisinopril?

Check effect on blood pressure at the same time as monitoring blood tests. MODERATE AND HIGH RISK PATIENTS (see above) – check at 4 and 10 days. Checks should also be sent after dose increases, and if diuretic doses are increased.

Does lisinopril increase or decrease potassium?

Lisinopril can increase blood potassium levels. So, using salt substitutes or eating high-potassium foods may cause problems.

Is it safe to breastfeed while taking Zestril?

Lisinopril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. You should not breastfeed while using Zestril. How should I take Zestril? Take Zestril exactly as prescribed by your doctor. Follow all directions on your prescription label.

When to use Zestril for systolic heart failure?

Zestril is indicated to reduce signs and symptoms of systolic heart failure [see Clinical Studies (14.2) ]. Zestril is indicated for the reduction of mortality in treatment of hemodynamically stable patients within 24 hours of acute myocardial infarction.

How many mg of Zestril should I take per day?

The usual dosage range is 20 to 40 mg per day administered in a single daily dose. Doses up to 80 mg have been used but do not appear to give greater effect. If blood pressure is not controlled with Zestril alone, a low dose of a diuretic may be added (eg, hydrochlorothiazide, 12.5 mg).

How old do you have to be to take Zestril for hypertension?

Zestril is indicated for the treatment of hypertension in adult patients and pediatric patients 6 years of age and older to lower blood pressure. Lowering blood pressure lowers the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions.