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Lexie's ACEI

NCLEX Review

QuestionAnswer
Angiotensin Converting Enzyme Inhibitiors ACE Antihypertensives
End in -pril
Examples Benazepril, captopril, lisinopril, enalapril
Indications HTN, Reduce risk of CHF after MI, Slowed progression of left ventricular dysfunction into overt heart failure
Action Block conversion of angiotensin I to the vasoconstrictior angiotensin II
Therapeutic Effects Lowering of blood pressure in HTN, Decreased afterload in CHF
Contraindictions Angioedema
Use Cautiously Renal impairment, hepatic impairment, hypovolemia,
Adverse Reactions and Side Effects cough, hypotension, taste disturbances, proteinuria, agranuloytosis, neutropenia, angioedema
Labs BUN, creatinine, electrolyte, CBC, Liver enzymes, WBC differential
Patient teaching Avoid salt substitutes, change positions slowly, notify provider if rash, sore throat, fever, occur
Nursing Implications Monitor BP, HR, In CHF monitor wt, breath sounds
Created by: schizonurse
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