Professional Documents
Culture Documents
Postop Actual &potential NCP
Postop Actual &potential NCP
Collaborative:
5.Administer IV fluids
as indicated.
5. Demonstrate
positive caring routine
activities.
Interventions
• Control
environme
nt
(temperatur
e, lighting)
if sweating
or CNS
effects
occur.
NAME OF THE DOSAGE MECHANISM OF INDICATION CONTRAINDICATION ADVERSE REACTION NURSING
DRUG ROUTE ACTION
RESPONSIBILITY
FREQUEN
CY OF
ADM.
Generic name: Blocks ACE Indicated Contraindicated to: o CV: Tachycardia, Assessment
from for: o Contraindicated with angina pectoris, MI, o History:
Captopril converting o Treatmen allergy to captopril, history Raynaud's Allergy to
angiotensin I t of of angiodema. syndrome, CHF, captopril,
Brand name:
to hyperten Use cautiously with impaired hypotension in salt- history of
Capoten
angiotensin sion renal function; CHF; salt or or volume-depleted angioedema,
II, a powerful alone or volume depletion, lactation, patients impaired renal
vasoconstrict in pregnancy. o Dermatologic: function, CHF,
or, leading to combinat Rash, pruritus, salt or volume
decreased ion with pemphigoid-like depletion,
blood thiazide- reaction, scalded pregnancy,
pressure, type mouth sensation, lactation
decreased diuretics exfoliative o Physical: Skin
aldosterone o Treatmen dermatitis, color, lesions,
secretion, a t of CHF photosensitivity, turgor; T; P,
small in alopecia BP, peripheral
increase in patients o GI: Gastric perfusion;
serum unrespon irritation, aphthous mucous
potassium sive to ulcers, peptic membranes,
levels, and conventio ulcers, dysgeusia, bowel sounds,
sodium and nal cholestatic jaundice, liver
fluid loss; therapy; hepatocellular evaluation;
increased used with injury, anorexia, urinalysis,
prostaglandi diuretics constipation renal and liver
n synthesis and o GU: Proteinuria, function tests,
also may be digitalis renal insufficiency, CBC and
involved in o Treatmen renal failure, differential
the t of polyuria, oliguria,
antihyperten diabetic urinary frequency Interventions
sive action. nephropa o Hematologic: o Administer 1
thy Neutropenia, hr before or 2
o Treatmen agranulocytosis, hr after meals.
t of left thrombocytopenia, o Alert surgeon
ventricul hemolytic anemia, and mark
ar pancytopenia patient's chart
dysfuncti Other: Cough, with notice
on after malaise, dry mouth, that captopril
MI lymphadenopathy is being taken;
the
angiotensin II
formation
subsequent to
compensatory
renin release
during surgery
will be
blocked;
hypotension
may be
reversed with
volume
expansion.
o Monitor
patient closely
for fall in BP
secondary to
reduction in
fluid volume
(excessive
perspiration
and
dehydration,
vomiting,
diarrhea);
excessive
hypotension
may occur.
o Reduce
dosage in
patients with
impaired renal
function.
Teaching
points
o Take drug 1 hr
before or 2 hr
after meals;
do not take
with food. Do
not stop
without
consulting
your health
care provider.
o Be careful of
drop in blood
pressure
(occurs most
often with
diarrhea,
sweating,
vomiting,
dehydration);
if light-
headedness or
dizziness
occurs, consult
your health
care provider.
o Avoid over-
the-counter
medications,
especially
cough, cold,
allergy
medications
that may
contain
ingredients
that will
interact with
ACE inhibitors.
Consult your
health care
provider.
o These side
effects may
occur: GI
upset, loss of
appetite,
change in
taste
perception
(limited
effects, will
pass); mouth
sores (perform
frequent
mouth care);
rash; fast
heart rate;
dizziness,
light-
headedness
(usually
passes after
the first few
days; change
position
slowly, and
limit your
activities to
those that do
not require
alertness and
precision).
o Report mouth
sores; sore
throat, fever,
chills; swelling
of the hands,
feet; irregular
heartbeat,
chest pains;
swelling of the
face, eyes,
lips, tongue,
difficulty
breathing.