ACE Inhibitors Flashcards
ramipril trade name
altace
ramipril drug class
ACE inhibitor & antihypertensive
ramipril why use
hypertension, CHF, reduce risk MI, stroke, CV disorder
ramipril expected effect
suppress RAAS system
inhibit ACE
prevent conversion angiotensin to angiotensin 2
ramipril adverse effects
every side effect listed from other drugs
ramipril doses
hypertension: PO 2.5mg/day then 2.5-2 BID
CHF: PO 1.25-2.5 BID
renal: confusing
reduce risk MI, stroke: 2.5mg for 7 days then 5mg 21 days
ramipril route admin
PO
ramipril nursing considerations
renal disease (protein, BUN, creatine, K, Na, renal urine symptoms)
CHF (edema, weight)
hypertension
collagen vascular disease (CBC, watch for low platelets)
teach: rise slowly bc BP, may cause dizzy/ rash
notify swelling, sores
benazepril trade name
Lotensin
benazepril drug classes
antihypertensive, ACE inhibitor
benazepril route admin
PO
benazepril expected effect
Suppress RAAS. inhibit enzyme converting angiotensin 1 to angiotensin 2. Angiotensin 2 vasoconstrictor & ^BP. When inhibited blood vessels dilate & lower BP
benazepril side effects
hepatotoxicity, pancreatitis, agranulocytosis, neutropenia, angioedema, Stevens Johnson syndrome
benazepril nursing considerations
discontinue diuretic, monitor urine for protein BUN creatine assess BP, platelets, neutrophils (less 1000 discontinue med), WBC - no OTC meds, on salt with K - if symptoms get better continue taking - not take if pregnant - assess for allergic reactions
why use benazepril
hypertension
renal impairment
diabetic nephropathy
proteinuria
