ACE Inhibitors

Question 1

Common generic names

Answer 1

“Pril”, lisonopril, catoporil, enalipril, ramipril

Question 2

Indications

Answer 2

Used to manage HTN alone or with other meds, reduce risk of death or HF following MI

Question 3

How it works

Answer 3

Blocks conversion of angiotensin I to angiotensin II (potent vasoconstrictor)==> systemic vasodilation

Question 4

SE

Answer 4

A–>Angioedema
C–>Cough
E–> Elevated K+, ED
Hypotension, rash, dizziness, agranulocytosis

Question 5

Nursing Interventions

Answer 5

Monitor BP, fluid overload, increased K+, BUN, creatinine, AST/ALT, decreased Na, H/H, Monitor for S/S of angioedema

Question 6

Patient teaching

Answer 6

Monitor BP, report cough, sore throat, hoarseness, swelling, slow position changes due to orthostatic hypotension, avoid high K+ foods, do not use Salt subs.