Name of Patient:_________________________________________________________________________________________________________ Ward No.: _______ Bed No.: _______
Medical Diagnosis:_______________________________________________________________________________________________________________________________________ Drug Name: CAPTOPRIL Indication for Patient:
AVAILABILITY ACTION OF DRUG Tablets: 12.5mg, 25mg, Inhibits ACE, Contraindicated in Drug-drug. Antacids: May decrease captopril effect. Separate CNS: dizziness, fainting, 50mg, 100mg preventing conversion patients hypersensitive to dosage times. headache, malaise, fatigue, of angiotensin I to drug or other ACE Diuretics, other hypertensives: May cause excessive fever. angiotensin II, a inhibitors. hypotension. May need to stop diuretic or reduce captopril CV: tachycardia, hypotension, potent Use during pregnancy dosage. angina pectoris vasoconstrictor. Less can cause injury and Insulin, oral antidiabetics: May cause hypoglycemia when GI: abdominal pain, anorexia, angiotensin II death in the developing captopril therapy is started. Monitor patient closely. constipation, diarrhea, dry decreases peripheral fetus. When pregnancy Lithium: May increase lithium level; symptoms of toxicity mouth, dysgeusia, nausea, arterial resistance, of detected, stop drug as possible. Monitor lithium level and patient closely. vomiting decreasing soon as possible. NSAIDs: May reduce antihypertensive effect. Monitor blood Hematologic: leukopenia, aldosterone secretion, Use cautiously in pressure. agranulocytosis, which reduces sodium patients with impaired Potassium-sparing diuretics, potassium supplements: May thrombocytopenia, and water retention renal function or serious cause hyperkalemia. Avoid using together unless pancytopenia, anemia. and lowers blood autoimmune disease, hyperkalemia is confirmed. Metabolic: hyperkalemia pressure especially systemic lupus Drug-herb. Black catechu: May cause additional hypotensive Respiratory: dry, persistent, erythematosus, and in effect. Discourage use together. nonproductive cough; those who have been Capsaicin: May worsen cough. Discourage use together. dyspnea. exposed to other drugs Drug-food. Salt substitutes containing potassium: May cause Skin: urticarial rash, that affect WBC counts hyperkalemia. Monitor patient closely. maculopapular rash, pruritus, or immune response. alopecia. OverdoseS&Sx: Other: angioedema. Hypotension.
DANICA PAULINE G. RAMOS|2012-63528
NURSING RESPONSIBILITIES o Black patients who take ACE inhibitors as monotherapy for hypertension have a smaller reduction in blood pressure than nonblacks. o Black patients taking ACE inhibitors have a higher incidence of angioedema than nonblacks. o Monitor patients blood pressure and pulse rate frequently. o Elderly patients may be more sensitive to drugs hypotensive effects o Assess patient for signs of angioedema o Drug causes the most frequent occurrence of cough, compared with other ACE inhibitors o In patients with impaired renal function or collagen vascular disease, monitor WBC and differential counts before starting treatment, every 2 weeks for the first 3 months of therapy, and periodically thereafter.