Enalapril (Vasotec) Nursing Considerations

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Enalapril

Trade Name

Vasotec

Indication

hypertension, management of CHF

Action

Block conversion of angiotensin I to angiotensin II, increases renin levels and decreases aldosterone leading to vasodilation

Therapeutic Class

Antihypertensives

Pharmacologic Class

ACE Inhibitor

Nursing Considerations

• May cause hypersensitivity (allergic) reactions and angioedema (swelling of face, lips, tongue, throat)

• Can cause neutropenia – check WBCs regularly

• Use cautiously with potassium supplements and potassium sparing diuretics. • Use cautiously with diuretic therapy • Administer 1 hour before meals • Monitor blood pressure often • Monitor weight and fluid status • Monitor renal profile • Monitor CBC frequently • Dry cough