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captopril

captopril

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captopril
captopril

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Categories:Types, School Work
Published by: Vina Jane Perez Laurel on Feb 06, 2011
Copyright:Attribution Non-commercial

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01/29/2013

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DRUG STUDYPatients Name: Age: Hospital No.: Room No.:Impression/Diagnosis: Attending Physician:Allergy to:Generic &Brand Name,ClassificationDose, Strength& FormulationIndication/Mechanisms of DrugActionAdverse/Side EffectsDrug InteractionNursingResponsibilitiesRationaleClientTeachingGeneric:
Captopril
Brand:
Capoten
Classification:
Antihypertensive
Ordered:
give 50 mg 1tabevery 8 hours via NGT
Timing:
8 am, 4 pm, 12 mn
Duration:
6-12 hours
Other forms:
Tablets: 12.5 mg,50 mg, 100 mg
Indications:
Treatment of hypertension alone or in combination with thiazide-typediuretics .Treatment of CHF in patientsunresponsive to conventionaltherapy; used withdiuretics and digitalisTreatment of diabetic nephropathyTreatment of left ventricular dysfunction after MI
Mechanism of Action:
Blocks ACE from convertingangiotensin I to angiotensin II, a powerful vasoconstrictor, leading todecreased blood pressure, decreasedaldosterone secretion, a smallincrease in serum potassium levels,and sodium and fluid loss;increased prostaglandin synthesisalso may be involved in theantihypertensive action.
Adverse effects:CV:
Tac hycardia , angina pectoris, MI, Raynaud'ssyndrome, CHF,hypotension insalt- or volume-depleted patients
Dermatologic:
Rash, pruritus, pemphigoid-likereaction, scalded mouthsensation, exfoliativedermatitis, photosensitivity, alopecia
GI:
Gastric irritation,aphthous ulcers, pepticulcers, dysgeusia,cholestatic jaundice, hepatocellular injury, anorexia,constipation
GU:
Proteinuria, renalinsufficiency, renal failure, polyuria, oliguria, urinaryfrequency
Hematologic:
 Neutropenia,agranulocytosis,thrombocytopenia,hemolytic
Assessment:
BEFORE:
Assess patienthistoryregardingallergy tocaptopril
Assess patient’srenal function.
Assess vitalsigns.DURING:
Monitor  patient’s healthstatus.
Monitor  patient’soutput.AFTER:
Monitor vitalsigns.
Be alert for adversereaction. Nursing Diagnosis:>Risk for injury related*To know if the patient can have thisdrug.*To obtain precautionarymeasures.*To obtain baselinedata.*To determineeffectiveness of thedrug.*To assess for further renalimpairment.*To ensure patient’shealth condition.*to establish precautionarymeasures andmanagement.>Take drug 1 hr  before or 2 hr after meals; do not takewith food. Do notstop withoutconsulting your health care provider.>Be careful of dropin blood pressure(occurs most oftenwith diarrhea,sweating, vomiting,dehydration); if light-headedness or dizziness occurs,consult your health care provider.>Avoid over-the-counter medications,especially cough,cold, allergymedications thatmay containingredients that willinteract with ACE

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