NURS 2004 Chapter Notes - Chapter 44: Quinapril, Coronary Artery Disease, Cutaneous Condition
28 Jan 2017
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Chapter 44 drugs acting on the raa system nursing implications. Unless indicated otherwise, the implications summarized below pertain to all of the ace inhibitors. Therapeutic goal: ace inhibitors are used to . Reduce bp in patients with hypertension (all ace inhibitors) Improve hemodynamics in patients with heart failure (captopril, enalapril, fosinopril, lisinopril, quinapril). Slow progression of established diabetic nephropathy (captopril). Treat heart failure after mi (ramipril, trandolapril) Reduce risk of mi, stroke, or death from cardiovascular causes in patients at high risk (ramipril) Reduce cardiovascular mortality or nonfatal mi in patients with stable coronary artery disease (perindopril). Baseline data: determine blood pressure and obtain a wbc count and differential. Exercise caution in patients with salt or volume depletion, renal impairment, or collagen vascular disease, and in those taking potassium supplements, salt substitutes, potassium-sparing diuretics, arbs, aliskiren, or lithium. Routes: oral all ace inhibitors (except enalaprilat). Dosage and administration: dosage is low initially and then gradually increased.
