Enalaparil Flashcards
1
Q
Enalaparil Class
A
- Antihypertensive and vasodilator
- ACE inhibitor
2
Q
Enalapril Dose ?
A
Initial 5mg daily
Maintenance 10-40 mg/ daily
3
Q
Enalapril education?
A
- Swallow whole ( do not crush, chew, split)
- store oral solution at room temp
- discard oral solution after 60 days
-Take at the same time everyday - Educate about excessive sweating, vomiting, diarrhea
- educate on orthostatic hypotension ( move slowly)
4
Q
Enalapril action?
A
- reduced blood pressure and development of heart failure by affecting the renin/ angiotensin/ aldosterone system by inhibiting ACE enzymes
- prevents angiotensin I from converting to II
- decreased vascular tone and BP
which inhibits sodium and water reabsorption
5
Q
Enalapril contraindications?
A
- concurrent aliskirne therapy in pt with diabetes
- Pt with a history of hereditary or idiopathic angio edema if they have a hypersensitivity or the use within 36 hour of valsartin therapy
6
Q
Enalapril interactions?
A
- Litium ( increase blood lithium and toxicity in the blood)
- NSAIDS
-Potassium sparing diuretics - Thiazide diuretics
- Foods ( potassium containing salt subs)
7
Q
Enalapril Complications ?
A
- Angina
- Orthostatic hypertension
- Blurred vision
- Tinnitus
- Anorexia
- Hepatic failure
- MI
- Melena
- Renal failure
- bronchospasm
- PE
- Steven Johnson syndrome
8
Q
Enalapril use:
A
- alone or with other meds in management of hypertension
- Management of symptomatic heart failure
- Slowed progression of asymptomatic left ventricular dysfunction to overt heart failure
