Classification: Angiotensin II receptor blocker (ARB), Antihypertensive Mechanism of Action: Inhibits vasoconstrictive and aldosterone- secreting action of angiotensin II by blocking angiotensin II receptor on the surface of vascular smooth muscle and other tissue cells. Indications: Hypetension, Nephepatically in type 2 daibetic patients, to reduce risk of CVA in patients with hypertension and left ventricular hypertrophy Contraindications: - Patients hypersensitive to drug Dosage/Route/Frequency: Initial dose: 50 mg orally once a day Maximum dose: 100 mg orally once a day Side Effects: Headache, dizziness, dry skin, dry mouth, nausea, Adverse Effects: Syncope, insomnia, Hypotension, Rash, urticaria, pruritus, alopecia, Diarrhea, abdominal pain, constipation, URI symptoms, cough, sinus disorders, Cancer in preclinical studies, back pain, fever, gout, muscle weakness Nursing Implications: - Administer without regard to meals. - Monitor patient closely in any situation that may lead to a decrease in blood pressure secondary to reduction in fluid volume--excessive perspiration, dehydration, vomiting, diarrhea--excessive hypotension can occur. - Monitor patients BP - Assess renal function. Monitor I & O. - Provide safety measures and assist patient in ambulation. Headache and dizziness may occur. - Provide mouth and skin care to prevent dryness - Watch out for signs of hypersensitivity and refer accordingly any adverse effects as well.