RAMIPRIL 1. Name & class of drug – generic and trade name.

GENERIC NAME: Ramipril BRAND NAME: Altace CLASSIFICATION: CV agent, angiotensin-converting enzyme (ACE) inhibitor 2. Dose range and routes for adult & geriatric client. PREPARATIONS: PO – (1.25, 2.5, 5, 10) mg capsules DOSING: 2.5 – 5 mg q d 3. Purpose prescribed. Underline reason your client is prescribed drug. THERAPEUTIC EFFECTS: lowers BP, inhibition of ACE also decreases serum aldosterone levels; reduces peripheral anterial resistance, and improves cardiac output as well as exercise tolerance. USES: Hypertension, CHF 4. Major side effects & drug interactions. DRUG INTERACTIONS: K+ sparing diuretics may increase risk of hyperkalemia. May elevate serum lithium levels. SIDE EFFECTS: dizziness, fatigue, headache, N/V, diarrhea, hyperkalemia, hyponatremia, cough

5. Nursing Implications & teaching. IMPLICATIONS: • Check blood pressure before initiation of therapy • Report diminished antihypertensive effects TEACHING: • D/C med and report S&S of angioedema • Maintain adequate fluid intake