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Unit 5 ACEIs & ARBs
LCC NURS 200 unit 5 ACEI's and ARBs
Question | Answer |
---|---|
ACE Inhibitors – Prototype | captopril (Capoten) |
ACE Inhibitors MOA | Prevent production of Angiotension II by blocking ACE |
ACE Inhibitors Indications | Hypertension, Heart failure, Renal protective effects in patients with diabetes, After MI |
ACE Inhibitors Adverse Effects | Relatively well tolerated. Fatigue/dizziness, hyperkalemia, dry nonproductive cough. |
ACE Inhibitors Nursing Implication | First does hypotensive effect may occurs. Monitor blood pressure, fall risk. Administer on an empty stomach. |
ACE Inhibitors Contraindications/Cautions | Allergies, hyperkalemia, hypotension, Renal insufficiency, Causes birth defects in 2nd and 3rd trimester. |
ACE Inhibitors Interactions | Caution with Potassium sparing diuretic, NSAIDS antagonize ACE Inhibitors, Monitor closely with other antihypertensives. |
Angiotension II Receptor Blockers (ARBs) Prototype | losartan (Cozaar, Hyzaar) |
ARBs MOA | Block the effect of AII by blocking receptors that receive AII. |
ARB Adverse Effects | Dizziness, GI distress (but can give with food), Headache. Does not cause dry cough, hyperkalemia less likely to occur. |
ARB Contraindications/Cautions | hypotension, renal insufficiency. |
ARB Interactions. | Careful with other antihypertensives |