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Captopril Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

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Captopril
Generic Name: captopril
Trade Name: Capoten Indication hypertension, management of CHF, decrease progression of DM neuropathy
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:
 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
 may lead to Rhabdomyolysis
 dry cough

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