Enalapril (ACE Inhibitor)

Question 1

Expected Pharmacological Action:

Answer 1

Blocks the conversion of angiotensin I to angiotensin II, leading to vasodilation and reduced blood pressure.

Question 2

Therapeutic Use:

Answer 2

Hypertension
Heart failure
Prevention of stroke and heart attacks

Question 3

Complications:

Answer 3

Hypotension
Dry cough (due to bradykinin buildup)
Angioedema (swelling of the face, lips, and throat)
Hyperkalemia
Blurred Vision
Tinnitus

Question 4

Contraindications/Precautions:

Answer 4

Pregnancy (Category D – fetal harm risk)
History of angioedema
Severe renal impairment

Question 5

Interactions:

Answer 5

Potassium supplements & potassium-sparing diuretics → increase risk of hyperkalemia
NSAIDs → reduce antihypertensive effects
Lithium

Question 6

Client Education:

Answer 6

Monitor blood pressure regularly
Avoid potassium-rich foods (bananas, oranges, potatoes)
Report signs of angioedema immediately
Swallow Whole
take @ same time everyday

Question 7

Dosage:

Answer 7

Oral: 2.5–40 mg daily (divided into one or two doses)