Update Already Graded A
What is an ACE Inhibitor? - ANSWER>>Angiotensin-Converting Enzyme
:Causes vasoconstriction and increased blood pressure
ACE Inhibitors relax heart and decrease blood pressure
What is an examples of a drug ACE Inhibitor? - ANSWER>>Captopril (Capten)
Benazepril
Perindopril
Trandolapril
Moexipril
what does ACE inhibitors treat? - ANSWER>>HTN, HF, Diabetic Neuropathy, and MI
What is the function of ACE Inhibitors? - ANSWER>>Reduce levels of angiotensin II-
Bradykinin (dilate blood vessels), reduce blood volume (kidney excretion),
Hyperkalemia (elevates potassium in blood)
**LOWERS BLOOD PRESSURE**
What are the side effects of ACE inhibitors? - ANSWER>>Angioedema, cough (causes
from bradykinin), hyperkalemia, hypotension, renal failure
Where is the ACE inhibitors excreted from? - ANSWER>>Kidneys
What interacts with ACE inhibitors? - ANSWER>>Diuretics, Antihypertensives,
potassium supplements, lithium, and NSAIDS
, What are the adverse effects of ACE inhibitors? - ANSWER>>Hypotension (<90 SBP);
dry cough; hyperkalemia (potassium 3.5-5) angioedema (deep tissue swelling (face,
mouth, eyes, throat- high risk in african americans); Dizziness in changing positions
(orthostatic hypotension)
what do you monitor while patient is on ACE inhibitors? - ANSWER>>BP, Potassium
levels (3.5-5), BUN (5-20), creatinine (0.6-1.2), I&O, angioedema (deep tissue swelling
(face, mouth, eyes, throat- mostly seen in african americans)
Education on ACE inhibitors and ARB's - ANSWER>>BP & pulse regularly
Avoid salt substitutes w/ potassium rich foods (potatoes, bananas, pork, oranges,
tomatoes, avocados, spinach)
Talk to MD if dry cough is not tolerated instead of stopping medication.
Spironolactone with ACE or ARB's can increase potassium in blood.
DO OT double dose when dose is forgotten. Take dose as scheduled next day. Risk of
severe hypotension if doubled.
What are ARB's? - ANSWER>>Angiotensin II Receptor Blockers
What examples of drugs are used for ARB's? - ANSWER>>Valsartan (Diovan),
Candesartan (Atacand, irbesartan (avapro), Losartan (cozaar), elmisartan (micardis)
What are ARBs used for? - ANSWER>>Hypertension and for clients who do not tolerate
ACE inhibitors, Diabetic nephropathy (kidney disease due to diabetes (type 2-WATCH
for proteinuria), and HEART FAILURE.
What do you monitor with a patient on ARB medication? - ANSWER>>BP & pulse
regularly (high risk if on diuretics or other cardiac meds, dehydration..)
Monitor Potassium levels