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NCLEX Questions Top Meds on NCLEX RN 3rd Edition

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A Quick Review about ACE Inhibitors What are ACE Inhibitors? ACE Inhibitors or Angiotensin Converting Enzymes are any of a group of antihypertensive drugs that relax arteries and promote renal exc ... retion of salt and water by inhibiting the activity of an angiotensin converting enzyme. These are enzymes responsible for reducing vasculature resistance without increasing cardiac output, rate or contractility. NCLEX Alert! ACE Inhibitors are one of the most frequently tested antihypertensive drugs on NCLEX. These are the diseases that ACE Inhibitors treat: 1. Hypertension 2. Congestive heart failure And, they lower the risk of stroke and heart attack. You must remember that these inhibitors have side effects in our body, such as: 1. Postural hypotension (commonly known as ‘head rush’ or ‘dizzy spell’) 2. Fatigue 3. Loss of appetite 4. Nausea, vomiting, diarrhea 5. Hyperkalemia 6. Insomnia 7. Could exacerbate non-productive cough 8. Angiodema Some of the commonly used ACE Inhibitors are Benazepril, Captopril, Enalapril and Fosinopril. Also included in this classification are Lisinopril, Moexipril or Perindopril. Now, what should be your nursing considerations in giving medications? As a nurse, you also have to educate your clients in taking these drugs. Here are some medical considerations: 1. You have to remember that these medications cause retention of potassium. Hence, monitor the electrolytes. 2. Take note that elderly clients are at highest risk for postural hypotension. 3. Always instruct your clients not to abruptly discontinue medications because rebound hypertension can occur. 4. Do not forget to monitor the blood pressure frequently. 5. If your client has impaired renal function, you have to be cautious if they will be using these drugs 6. Finally, notify the client’s physicians if dizziness still persists. [Show More]

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