DRUG STUDYPatient’s Name: Age: Hospital No.: Room No.:Impression/Diagnosis: Attending Physician:Allergy to:Generic &Brand Name,ClassificationDose, Strength& FormulationIndication/Mechanisms of DrugActionAdverse/Side EffectsDrug InteractionNursingResponsibilitiesRationaleClientTeachingGeneric:
give 50 mg 1tabevery 8 hours via NGT
8 am, 4 pm, 12 mn
Tablets: 12.5 mg,50 mg, 100 mg
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.
Tac hycardia , angina pectoris, MI, Raynaud'ssyndrome, CHF,hypotension insalt- or volume-depleted patients
Rash, pruritus, pemphigoid-likereaction, scalded mouthsensation, exfoliativedermatitis, photosensitivity, alopecia
Gastric irritation,aphthous ulcers, pepticulcers, dysgeusia,cholestatic jaundice, hepatocellular injury, anorexia,constipation
Proteinuria, renalinsufficiency, renal failure, polyuria, oliguria, urinaryfrequency
Assess patienthistoryregardingallergy tocaptopril
Assess patient’srenal function.
Monitor patient’s healthstatus.
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