Effects Of Lisinopril In Hypertension and High Blood Pressure Essay

Instructions

Prescription Writing Assignment Zestoretic

Directions:

Using APA format, use the following information that is provided to write a prescription and address the

following questions/concerns for the identified patient:

1) Identify at least 3 concerns for this patient and the rationale. Identify one as a priority concern Effects Of Lisinopril In Hypertension and High Blood Pressure Essay.

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Concerns should be related to the prescription that is being written.

2) State the mechanism of action in YOUR OWN WORDS for this medication.

3) List the class and subclass for this medication.

4) Where does this prescription fit into the client’s plan of care?

5) What is the cost of this prescription AS IT IS WRITTEN? CVS pharmacy cost $400.00 dollars.

6) What does the client/family need to know to safely take this medication?

7) What subjective data needs to be collected by the NP or healthcare provider to safely prescribe Effects Of Lisinopril In Hypertension and High Blood Pressure Essay

this medication?

8) What objective data needs to be collected by the NP or healthcare provider to safely prescribe

this medication? Be specific. Do not just state that you would complete a head-to-toe exam, o

you will lose points.

9) What labs or diagnostic tests need to be monitored by the NP to safely prescribe this

medication? Be sure to include the frequency of each test.

Background: Effects Of Lisinopril In Hypertension and High Blood Pressure Essay

Dave Smith, a 54 yea-old male, has presented to office today for a blood pressure check. He was seen in

office 3 months ago with elevated blood pressure and started on lisinopril. At his visit 6 months ago, he

was given counseling about lifestyle changes such as diet and exercise. His vital signs 3 months ago were

HR 85, R 16, BP 150/92, Wt 200 lb, Ht 6’1”. Today at his visit, his blood pressure is 148/90 sitting. He has

mild edema in bilateral lower extremities. You decide to write a prescription for this patient for Zestoretic Effects Of Lisinopril In Hypertension and High Blood Pressure Essay.

Prescription Assignment Zestoretic

• Identify at least 3 concerns for this patient and the rationale. Identify one as a priority concern. Concerns should be related to the prescription that is being written.

Hypertension is a condition whereby the long-term blood is forcing against an individual’s artery walls becomes high, ultimately causing health problems like heart conditions. The amount of blood the heart pumps and the volume of resistance to blood flow in one’s arteries determines blood pressure. When the hearts pump excess blood, the streets become narrower, and the blood pressure becomes higher (Sonn et al., 2019). Effects Of Lisinopril In Hypertension and High Blood Pressure Essay Many individuals with high blood pressure show no symptoms, even when blood pressure readings reach risky elevated levels. Some individual with higher blood pressure are having breath shortness, headaches, or nose bleeding, but the symptoms are not particular. Usually, they do not happen until high blood pressure reaches a life-threatening phase or is severe.

• State the mechanism of action in YOUR OWN WORDS for this medication.

Lisinopril is an antihypertensive drug that is inhibiting angiotensin-converting enzyme (ACE) in humans and animals. ACE is a subclass of peptidyl dipeptidase, which catalyzes the conversion of angiotensin one direct to vasoconstrictor substance angiotensin 11. Angiotensin 11 is also stimulating the aldosterone secretion in the adrenal cortex (Sonn et al., 2019). The significant effects of lisinopril in hypertension and high blood pressure appear in essential from suppression in the renin-angiotensin, and inhibiting the ACE results in decreasing plasma angiotensin 11, leading to a decrease of vasopressor activity and decreasing aldosterone secretion. The latter decreasing can increase serum potassium Effects Of Lisinopril In Hypertension and High Blood Pressure Essay .

• List the class and subclass for this medication.

Lisinopril is derived from a class of medication known as angiotensin-converting enzyme (ACE) inhibitors (Sonn et al., 2019). Lisinopril also belongs to a subclass of antihypertensive drugs that are used in treating high blood pressure.

• Where does this prescription fit into the client’s plan of care?

The medication fits the client’s plan of treating high blood pressure and lower the blood pressure. This will help in preventing strokes, heart attacks, and kidney dysfunctions. It is also essential in treating heart failure and improving survival after a heart attack (Lopez, Parmar, Pendela & Terrell, 2020). Lisinopril is prone to decreasing sweating, resulting in heatstroke. Using potassium supplements and salt substitutes are not recommended while taking the medication unless the doctor is recommending. Lisinopril is also acting by relaxing the blood vessels for the effectiveness of blood flow. High blood pressure is developing for many years and affecting nearly most of the people. Just as in the client’s plan, high blood pressure can be easily identified.  And it is essential to notify the doctor in case of such effects of high blood pressure Effects Of Lisinopril In Hypertension and High Blood Pressure Essay .

• What is the cost of this prescription AS IT IS WRITTEN? CVS pharmacy cost $400.00 dollars.

The patient took medicine for three months, amounting to ninety days. So the cost of the medication will be 400/90= $4 per tablet.

• What does the client/family need to know to take this medication safely?

The client’s family needs to understand the drug’s side effects to help the client take them effectively without hesitation. Lisinopril peroral tablets are not known for causing drowsiness; however, they prompt low blood pressure and make someone feel dizzy (Lopez, Parmar, Pendela & Terrell, 2020). The family should know that the client is not allowed to drive or use any machinery by subjecting themselves to some other activities that need alertness until they know how the drug effects are working. Effects Of Lisinopril In Hypertension and High Blood Pressure Essay Some other side effects presented in lisinopril and the common ones are persistent cough, headache, and chest pain. In a situation where the products are mild, they may disappear within fewer days, and in cases where they appear stressful, it is advisable to see a doctor. The family members are required to know how to cope up with the side effects of lisinopril, including drinking a lot of water for preventing dehydration. At the time of sickness, the client is required to take sips of water, and it is essential if they consult a specialist in case there is a sign of dehydration like peeing (Lopez, Parmar, Pendela & Terrell, 2020). And in circumstances of diarrhoea and vomiting, patients are encouraged not to take any medication before speaking to a specialist.  It is also advisable to the client in case he feels dizzy because of taking lisinopril they should put themselves in a position of rest for a quicker comfort.

• What subjective data needs to be collected by the Nurse Practitioner (NP) or healthcare provider to prescribe this medication safely?
  

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Lisinopril per oral tablet can interact with other drugs like herbs or vitamins someone might be taking. Interaction is mostly identified as how medicine is changing and working in the body (Lopez, Parmar, Pendela & Terrell, 2020)s. Most occasions, this appears to be harmful or causing the drugs to be taken not to respond correctly. In helping the interactions, high blood pressure clients are advised to manage all their medications effectively. Drinking alcohol frequently can result in lowering blood pressure, thus increasing the side effects of lisinopril. One is advised to avoid becoming overheated at the time of exercise in the hot weather by not taking enough fluids (Lopez, Parmar, Pendela & Terrell, 2020). Lisinopril is prone to decreasing sweating, resulting in heatstroke. Effects Of Lisinopril In Hypertension and High Blood Pressure Essay Using potassium supplements and salt substitutes are not recommended while taking the medication unless the doctor is recommending.

• What labs or diagnostic tests need to be monitored by the NP to prescribe this medication safely? Be sure to include the frequency of each test.

Serum potassium and creatinine investigations are needed for clients taking angiotensin-converting enzyme inhibitors (ACE) (Lopez, Parmar, Pendela & Terrell, 2020). There is more informational research written about hyperkalemia related to these drugs with the laboratory monitoring patterns. So the diagnostic tests which are needed for this condition are creatinine and potassium in monitoring ACE Effects Of Lisinopril In Hypertension and High Blood Pressure Essay.

References

Sonn, B. J., Saben, J. L., McWilliams, G., Shelton, S. K., Flaten, H. K., D’Alessandro, A., & Monte, A. A. (2019). Predicting response to lisinopril in treating hypertension: a pilot study. Metabolomics, 15(10), 133.

Lopez, E. O., Parmar, M., Pendela, V. S., & Terrell, J. M. (2020). Lisinopril. In StatPearls [Internet]. StatPearls Publishing Effects Of Lisinopril In Hypertension and High Blood Pressure Essay.