Lisinopril (Prinivil, Zestril)
ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.
Lisinopril (Prinivil, Zestril)
ATI class: ACE inhibitor
Action
- ATI/source-folder candidate for Lisinopril (Prinivil, Zestril); verify mechanism against the source table before validation.
Therapeutic use
- Review under Hypertension medication safety.
Nursing assessment
- Monitor blood pressure, potassium, creatinine, BUN, and urine output.
- Assess cough, dizziness, pregnancy status, and angioedema symptoms.
- Review potassium supplements, salt substitutes, NSAIDs, and potassium-sparing diuretics.
Administration
- Verify route against the order and source table.
Side effects
- Verify common side effects against the source table.
Adverse effects
- Angioedema
- Hyperkalemia
- Hypotension
- Kidney function decline
- Persistent dry cough
Interactions
- Potassium supplements
- Salt substitutes
- Potassium-sparing diuretics
- NSAIDs
- Lithium
- Aliskiren in selected clients
Contraindications
- See source-specific contraindications and precautions before administration.
Precautions
- Pregnancy and history of ACE-inhibitor angioedema.
- Use caution with renal artery stenosis, kidney disease, volume depletion, and high potassium.
Client teaching
- Report swelling of lips, tongue, face, or throat immediately.
- Avoid potassium salt substitutes unless approved.
- Report pregnancy, fainting, low urine output, or persistent cough.
Medication outcomes
- Therapeutic response with no priority adverse effects.
Antidote / rescue
- No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.
NCLEX priority cues
- Angioedema is an airway emergency.
- Pregnancy is a stop-and-question cue.
- High potassium can cause dysrhythmias.
Medication classes
Source attribution
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