RAMIPRIL

1. Name & class of drug – generic and trade name.

GENERIC NAME: Ramipril

BRAND NAME: Altace
CLASSIFICATION: CV agent, angiotensin-converting enzyme (ACE) inhibitor

2. Dose range and routes for adult & geriatric client.

PREPARATIONS: PO – (1.25, 2.5, 5, 10) mg capsules

DOSING: 2.5 – 5 mg q d

3. Purpose prescribed. Underline reason your client is prescribed drug.

THERAPEUTIC EFFECTS: lowers BP, inhibition of ACE also decreases serum aldosterone levels; reduces peripheral anterial
resistance, and improves cardiac output as well as exercise tolerance.

USES: Hypertension, CHF

4. Major side effects & drug interactions.

DRUG INTERACTIONS: K+ sparing diuretics may increase risk of hyperkalemia. May elevate serum lithium levels.

SIDE EFFECTS: dizziness, fatigue, headache, N/V, diarrhea, hyperkalemia, hyponatremia, cough
5. Nursing Implications & teaching.

IMPLICATIONS:
• Check blood pressure before initiation of therapy
• Report diminished antihypertensive effects

TEACHING:
• D/C med and report S&S of angioedema
• Maintain adequate fluid intake