What are the contraindications of captopril?
Who should not take CAPTOPRIL?
- low amount of sodium in the blood.
- high levels of potassium in the blood.
- inherited disorder of continuing episodes of swelling.
- a reduction in the body’s resistance to infection.
- decreased function of bone marrow.
- narrowing of the aortic heart valve.
- renal artery stenosis.
- low blood pressure.
What should I check before giving captopril?
Your blood pressure will need to be checked often, and you may need frequent blood tests. Drink plenty of water each day while you are taking captopril. This medication can cause false results with certain medical tests.
What do you monitor captopril with?
Monitor CBC with differential prior to initiation of therapy, every 2 wk for the first 3 mo, and periodically for up to 1 yr in patients at risk for neutropenia (patients with renal impairment, or collagen-vascular disease) or at first sign of infection. Discontinue therapy if neutrophil count is <1000/mm3 .
When should you not use captopril?
[1] If a marked elevation of hepatic transaminases or jaundice occurs, captopril should be discontinued. A persistent, dry, hacking, nonproductive cough that occurs within the first few months of treatment can also occur with captopril therapy.
Why is captopril contraindicated in pregnancy?
Angiotensin-converting enzyme (ACE) inhibitors have been widely used to control hypertension, but their use during gestation may result in fetal death, intra-uterine growth retardation, oligoamnium sequence, hypotension, acute renal failure and ductus arteriosus patency in the newborn.
What medication should be avoided with captopril?
If you have diabetes, do not use captopril together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo). You may also need to avoid taking captopril with aliskiren if you have kidney disease.
What medications should not be taken with captopril?
Some products that may interact with this drug include: aliskiren, certain drugs that weaken the immune system/increase the risk of infection (such as everolimus, sirolimus), lithium, drugs that may increase the level of potassium in the blood (such as ARBs including losartan/valsartan, birth control pills containing …
What is the nursing considerations for captopril?
Nursing Implications Frequent assessment of BP, particularly after first dose 2. Monitor BUN, electrolytes (especially serum potassium) and urine protein levels closely 3. Monitor for adverse reactions 4.
What should you assess before giving ACE inhibitors?
When you start on an ACE inhibitor, you will need blood tests to monitor your kidney function and potassium levels. Be aware: If you take an ACE inhibitor, keep a written log of your heart rate (pulse) and blood pressure. Track your heart rate by taking your pulse daily.
Why are ACE inhibitors avoided in pregnancy?
It is well accepted that angiotensin-converting enzyme (ACE) inhibitors are contraindicated during the second and third trimesters of pregnancy because of increased risk of fetal renal damage. First-trimester use, however, has not been linked to adverse fetal outcomes.
Why are ACE inhibitors teratogenic?
Angiotensin converting enzyme (ACE) inhibitors are thought to produce a fetopathy by inhibiting fetal urine production and therefore only do so when taken in the second and third trimesters: the drugs have been considered safe in the first trimester.
Are there any contraindications for captopril in neonates?
Captopril is contraindicated in patients who are hypersensitive to this product or any other angiotensin-converting enzyme inhibitor. Avoid in neonates, in volume depletion and renovascular disease.
What do you need to know about a captopril scan?
What is a renal captopril scan? A renal captopril is a nuclear medicinetest. It shows how your blood flows to your kidney and compares how your right and left kidneys are working. It also helps to find areas in the arteries leading to your kidneys that are narrow or blocked.
What kind of test is a renal captopril?
A renal captopril is a nuclear medicine test. It shows how your blood flows to your kidney and compares how your right and left kidneys are working. It also helps to find areas in the arteries leading to your kidneys that are narrow or blocked.
How is captopril used to treat angiotensin I?
Captopril is a specific competitive inhibitor of angiotensin I-converting enzyme (ACE), the enzyme responsible for the conversion of angiotensin I to angiotensin II. Captopril is contraindicated in patients who are hypersensitive to this product or any other angiotensin-converting enzyme inhibitor.