Captopril is an ace inhibitor, it works to help with hypertension, as well as minimizing or preventing left ventricular dilation, and reduces the risk of heart failure. Hydrochlorothiazide is a diuretic is used alone or in combination with other medications to treat high blood pressure. “Lovastatin works by slowing the production of cholesterol in the body to decrease the amount of cholesterol that may build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body” (Medline Plus).
2. How do these drugs work together to address Mrs. Morales’s underlying pathologic conditions? Hypertension occurs when the body’s smaller blood vessels (the arterioles) narrow, …show more content…
What patient variables are most important to consider for Mrs. Morales when assessing her drug therapy? The most important variable would being able to assess Mrs. Morales’ therapeutic response to the drugs. Her blood pressure and cholesterol are improving; however, the cough may be an adverse affect of the ace inhibitor, she may need to do something different. We need to also take into consideration her culture, inherited traits, hdiet, lifestyle, and health status. It is also important to take into consideration all the drugs she is …show more content…
Which findings from the nursing assessment demonstrate the effectiveness of drug therapy? The fact that her cholesterol and blood pressure have both dropped each visit is a sign of drug effectiveness—when changing diet and exercise were not very effective.
6. Which findings from the nursing assessment demonstrate possible adverse effects from drug therapy? Mrs. Morales’ persistant cough is an adverse effect of the ACE inhibitor Captopril. This can be stopped with discontinuation but she may need to be switched to a different class.
7. What actions are indicated to maximize therapeutic effects? Mrs. Morales is doing a good job of trying to cut back on eggs, red meat, and salt to help with her cholesterol. Exercising regularly certainly help lower blood pressure and help strengthen the heart. She also needs to make sure to drink plenty of water.
8. What actions are indicated to minimize adverse effects? NSAIDS, lithium, and potassium should be avoided while taking an ace inhibitor as it can cause an interaction. As for hydrochlorothiazide and lovastatin, a side effect is constipation. She needs to make sure to drink a lot of water, exercise, and increase