Ace inhibitors

Question 1

What are the names of the Ace inhibitors

Answer 1

“Pril”Catopril ,Enalapril,Fosonipril,Lisinopril,Ramipril,Moexipril Benazipril * Enalaprilat (IV)

Question 2

How do Ace inhibitors work

Answer 2

They Block angiotensin 1 – 2 increase bradykinin retains potssium excretes sodium and water

Question 3

What are ace inhibitors used for

Answer 3

used for hypertension heart failure, MI diabetic/ non diabetic retnopathy

Question 4

Ramipril is used for

Answer 4

prevention of MI , stroke

Question 5

Enalaprilat is used for

Answer 5

Iv use

Question 6

A nurse should advise pt taking ace inhibitor with a diuretic to

Answer 6

Stop the diuretic for 2-3 days before the start of the Ace inhibitor

Question 7

when starting ace inhibitors start with a ———– dose?

Answer 7

start with a Low dose

Question 8

a nurse should monitor blood pressure ——

Answer 8

after initiation of first dose monitor for 2 hours after treatment

Question 9

watch for first dose

Answer 9

orthostatic hypotension

Question 10

if a patient is having a cough with ace inhibitors they should

Answer 10

discontinue Medication – advise Dr./ advise pt to be aware of a dry cough

Question 11

this medication retains potassium

Answer 11

monitor for s/s of hyperkalemia

Question 12

What are the s/s of hyperkalemia ?

Answer 12

numbness tingling paresthesias in hands and the feet

Question 13

one of the complications of Ace inhibitors is ….. r/t BP

Answer 13

first dose hypotension , diurteics increase the risk for first dose hypotension

Question 14

Use of other antihypertensives with Ace

Answer 14

increase risk of a hypotensive effect

Question 15

Ace inhibitors retain potassium advise a pt to avoid

Answer 15

potassium sparing diuretics or salt substitiutes

Question 16

ace inhibitors increase the levels of ——-

Answer 16

lithium

Question 17

Nsaids.

Answer 17

decrease the anti hypertensive effect

Question 18

in general Ace inhibitors differ from Angiotensin 2 receptor blockers in that they

Answer 18

Block the FORMATION of Angiotensin 2

Question 19

ace inhibitors come in ——- formations

Answer 19

could be single or combo thiazide diuretic , *thiazide diuretics don’t hold onto any potassium

Question 20

Catopril and Moexipril

Answer 20

take at least 1 hr before meals

Question 21

other ace inhibitors besides Catopril and Moexipril

Answer 21

other ace inhibitors are taken without food

Question 22

Ace inhibitors cause dysgeusia

Answer 22

an altered taste - notify provider

Question 23

all side effects of Ace inhibitors : RANCHO

Answer 23

Rash , angioedema , netropenia , cough , hyperkalemia, orthostatic hypertension

Question 24

advise pt to avoid activitie sthat …..

Answer 24

Require alertness- until effects are known

Question 25

If pregnancy is expected

Answer 25

report it to the provider , pregnancy risk during the second and the 3rd trimester

Question 26

due to side effect of neutropenia

Answer 26

monitor WBC every 2 weeks for 3 months