a nurse is caring for a client who has a prescription for enalapril This is a topic that many people are looking for. bluevelvetrestaurant.com is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, bluevelvetrestaurant.com would like to introduce to you Enalapril Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses. Following along are instructions in the video below:
Pearl. Okay. The first second.
I say an ala. Pearl. Youre hearing.
That suffix suffix prill. And you know. Because of that suffix pril that were dealing with ace inhibitor.
The trade name for enalapril is vasotec. The indication for this medication is going to be hypertension as well as management of chf. Lets do a really quick overview of prills.
Okay. Prills are angiotensin converting enzyme inhibitors. Okay or ace inhibitors for short.
So what these essentially do is they they block part of the renin angiotensin aldosterone system right so our renin angiotensin aldosterone system is basically a a biofeedback system within our body that leads to vasoconstriction elevation of blood pressure. And all that what happens is we have written and released written converts angiotensinogen to angiotensin one angiotensin one goes to the lungs. Within the lungs angiotensin.
One is converted to angiotensin. 2. By angiotensin converting enzyme and that angiotensin ii ii.
Then goes through a few more steps and leads to the vasoconstriction etc. But what angiotensin converting enzyme inhibitors. Do what ace inhibitors.
Do is they block that conversion of angiotensin. 1. To angiotensin 2 within the lungs okay so thats where they work alright.
I want you to keep that in mind for just a little bit later so therapeutic class is antihypertensive pharmacologic class ace inhibitor. So the things i want you to keep in mind with really quick here. The right is that when we deal with our prills remember with these pills that they can have this cough.
Okay were working within the lungs. So its easier to remember that pearls can cause this cough. Pearls can also cause angioedema what that is its really a swelling facial swelling severe swelling okay these patients can swell so great if it actually cuts off their breathing supply and they can be admitted icu.
They go through emergency room.
They can be intubated etc to try to protect their breathing. And that is a side effect of ace inhibitors is that angioedema other things that i want you to keep in mind. With here is i want you to keep in mind you need to use potassium supplements and potassium sparing diuretics.
Very carefully angiotensin converting enzyme inhibitors can actually lead to hyperkalemia because they will lead to retention of potassium. So you really need to be careful with anything thats going to further elevate potassium level. We also did monitor blood pressure regularly especially within the hospital lets say maybe you dont take your own vitals in hospital.
Maybe. The tech that does it but if a tech goes around takes blood pressure and you dont get around to administering the naal aprill for another hour thats really thats really too much of a timeframe you need to really be administering. These medications shortly very shortly after taking the blood pressure and you need to watch the blood pressure after to make sure it doesnt bottom it out too much with an l appeal to you want to administer one hour before mils okay.
And you want to use extreme caution with diuretic therapy. The whole goal is here. We dont want to decrease our patients blood pressure.
One we need to make an lead to this first dose hypotension. So if theyre if theyre taking this for the first time it could lead to this hypotension effect also you want to teach the patient how to take their blood pressure at home you teach them parameters for taking the blood pressure and how to take it if they should be taking their medication. With this okay so very important medications because theyre used so frequently.
But there are a lot of side effects. There are a lot of things to keep in mind. With it this has been another episode of the med master podcast by n r s.
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