Lisinopril:

Nursing education

- Change positions slowly, lie down if feeling dizzy, lightheaded, faint - inform clients of possibility of experiencing dry cough and notify provider - Advise clients to avoid the use of salt substitutes containing potassium

Side Effects

- First dose Orthostatic Hypotension - Cough - Hyperkalemia - Angioedema - Avoid Pregnancy

Therapeutic Effects

- Hypertension - Heart Failure - Myocardial Infarction (decrease mortality, risk of HF, left ventricular dysfunction) - Diabetic and Non-diabetic nephropathy

Nursing Interventions

- Monitor blood pressure for several hours after initiation of treatment - If hypotensive occurs, place patient in supine position - dry cough, discontinue medication - monitor potassium levels to maintain a level within expected range ( 3.5-5 mEq/L) - Monitor for manifestations of hyperkalemia (numbness & tingling), paresthesia in the hands and feet - Treat severe effects with subcutaneous injection of epinephrine, discontinue medication

A client who was recently prescribed lisinopril. What should the nurse instruct the client to do if they feel lighted while taking this medication?

A. Drink sips of cold water B. Change positions slowly and lie down C. Ambulate around the room D. Call the provider B. Change positions slowly and lie down. Side effects of lisinopril include orthostatic hypotension. The nurse should instruct the client to change positions slowly, and lie down if they are feeling dizzy or lightheaded.

A client has a new prescription for lisinopril. Which of the following conditions is most likely related to this medication? Select all that apply.

A. Glaucoma B. Diverticulitis C. Hypertension D. Diabetic neuropathy E. Heart Failure C. D. E. Lisinopril can be used to treat hypertension, and diabetic neuropathy, and heart failure

A client taking lisinopril for heart failure reports a tingling sensation in the hands and the feet. What side effect could the patient prescribed this medication be experiencing?

A. Paresthesia B. Hypoglycemia C. Ototoxicity D. Drowsiness A. Paresthesia The nurse should monitor for paresthesia while the patient is taking this medication

The nurse has administered lisinopril to a client with hypertension. The client has developed a dry cough. What should the nurse do next?

A. give the client sips of water B. position the client in semi fowlers postion C. rub the client's back D. Discontinue the medication D. Discontinue the medication The medication should be discontinued and the nurse should notify the provider

Pharmacological Action

ACE inhibitors - reduce production of angiotensin II by blocking the conversion of angiotensin I to Angiotensin II

A nurse is providing teaching to a client who has a new prescription of lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril?

a. Tongue swelling b. low potassium level c. Runny nose d. bruising A. Tongue swelling Angioedema is a fatal response that occurs in about 1% of clients who use ACE inhibitors such as lisinopril. Manifestations of Angioedema include swelling of the tongue, lips, and pharynx