DRUG STUDY

Generic & Brand Name, Classification Generic' Captopril Brand' Capoten Classification' Antihypertensive

Dose, Strength & Formulation (rdered' give 50 mg 1tab every 8 hours via NGT Timing' 8 am, 4 pm, 12 mn Duration' 6 12 hours (ther forms' Tablets! 12"5 mg, 50 mg, 100 mg

Indication !echanisms of Drug "ction Indications' Treatment o# hypertension alone or in $ombination %ith thia&i'e type 'iureti$s " Treatment o# C() in patients unresponsive to $onventional therapy* use' %ith 'iureti$s an' 'igitalis Treatment o# 'iabeti$ nephropathy Treatment o# le#t ventri$ular 'ys#un$tion a#ter +,

"d#erse Side $ffects Drug Interaction

Nursing Res%onsi&ilities "ssessment' -/)60/! • Assess patient history regar'ing allergy to $aptopril • Assess patient7s renal #un$tion" • Assess vital signs" 890,NG! • +onitor patient7s health status" • +onitor patient7s output" A)T/0! • +onitor vital signs" • -e alert #or a'verse rea$tion" Nursing 8iagnosis! :0is. #or in3ury relate' to un'erlying

Rationale

Client Teaching :Ta.e 'rug 1 hr be#ore or 2 hr a#ter meals* 'o not ta.e %ith #oo'" 8o not stop %ithout $onsulting your health $are provi'er" :-e $are#ul o# 'rop in bloo' pressure <o$$urs most o#ten %ith 'iarrhea, s%eating, vomiting, 'ehy'ration=* i# light hea'e'ness or 'i&&iness o$$urs, $onsult your health $are provi'er" :Avoi' over the $ounter me'i$ations, espe$ially $ough, $ol', allergy me'i$ations that may $ontain ingre'ients that %ill intera$t %ith AC/ inhibitors"

"d#erse effects' C)' Ta$ hy$ar'ia , angina pe$toris, +,, 0aynau'1s syn'rome, C(), hypotension in salt or volume 'eplete' patients Dermatologic' 0ash, pruritus, pemphigoi' li.e rea$tion, s$al'e' mouth sensation, e2#oliative 'ermatitis, !echanism of "ction' photosensitivity, alope$ia -lo$.s AC/ #rom $onverting GI' Gastri$ irritation, angiotensin , to angiotensin ,,, a aphthous ul$ers, pepti$ po%er#ul vaso$onstri$tor, lea'ing to ul$ers, 'ysgeusia,$holesta 'e$rease' bloo' pressure, 'e$rease' ti$ 3aun'i$e, hepato$ellular al'osterone se$retion, a small in3ury, anore2ia, in$rease in serum potassium levels, $onstipation an' so'ium an' #lui' loss* GU'4roteinuria, renal in$rease' prostaglan'in synthesis insu##i$ien$y, renal #ailure, also may be involve' in the polyuria, oliguria, urinary antihypertensive a$tion" #re5uen$y *ematologic' Neutropenia, agranulo$ytosis, thrombo$ytopenia, hemolyti$ anemia,pan$ytopenia

;To .no% i# the patient $an have this 'rug" ;To obtain pre$autionary measures" ;To obtain baseline 'ata" ;To 'etermine e##e$tiveness o# the 'rug" ;To assess #or #urther renal impairment" ;To ensure patient7s health $on'ition" ;to establish pre$autionary measures an' management"

tongue. $hest pains* s%elling o# the #a$e.rash* #ast heart rate* 'i&&iness. lips. malaise. #eet* irregular heartbeat. lympha'enopathy Interactions Drug+drug . mouth sores . upset.(ther'Cough.n$rease' $aptopril e##e$ts %ith probene$i' Drug+food 8e$rease' absorption o# $aptopril %ith #oo' Drug+la& test )alse positive test #or urine a$etone" $on'ition" :. eyes. $hange in taste per$eption. $hills* s%elling o# the han's.ne##e$tive prote$tion relate' to 'rug in'u$e' bloo' 'isor'er" :'e#i$ient .no%le'ge relate' to 'rug therapy :These si'e e##e$ts may o$$ur! G. o# hypersensitivity rea$tions %ith allopurinol 8e$rease' antihypertensive e##e$ts %ith in'ometha$in . 'ry mouth. light hea'e'ness" :0eport mouth sores* sore throat. #ever. loss o# appetite. 'i##i$ulty breathing" .n$rease' ris.