June 4, 2023

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Welcome back for another farm friday i have all of this stuff up here we are talking about lisinopril today so the big thing about lisinopril is that it’s an ace inhibitor which means that it convert or it blocks the conversion of angiotensin one to angiotensin 2 which has to do with the kidneys so i think you’ll understand some of the things that i’m saying no

Now that you know that the ace inhibitor lisinopril has to do with the kidneys so it’s an antihypertensive this is not typically the first line of treatment i can make a hole hypertension video but this is not the first met that they try typically um so basically some of the big side effects is something called a granulocyte osis which is where you have no white

Blood cells so you’re going to be monitoring for fever infection chills that kind of thing the other thing that can happen is a cough which would be indicative of fluid volume overload so some of the things with fluid volume overload are the first letter let’s just restart this the first sign and symptom of fluid volume overload is crackles in the lungs crackles

And the lungs are not normal so if you notice that you’re listening to the lungs of a patient yesterday they were clear and they’re on lisinopril and tomorrow or in today they you hear crackles that’s not normal and they’re in fluid william overload so that’s the first thing second thing edema so any kind of retention of fluid check the feet check the ankles check

The lower leg um those are the two big ones as far as fluid volume overload but of course there is um weight gain and shortness of breath those are the other two um so we already hit on that so because it’s a antihypertensive you want to check the blood pressure to make sure that the medication is working and it’s therapeutic once they go home you need to make

Sure that they know how to check their blood pressure because before they can take this medication they need to take their blood pressure to make sure that their blood pressure isn’t like 50 / 20 which i’ve seen before so it’s important to make sure that they take their blood pressure properly once they go home and then avoiding salt substitutes that are high in

Potassium and sodium is really important because then they’ll retain fluid typically um and then it can cause them to go into fluid volume overload so obviously that is bad and we don’t want our patients to go into fluid volume overload that’s the big thing with lisinopril is fluid volume overload because it is converting or it’s blocking the conversion of the

Angiotensin 122 so it is doing stuff with the kidneys and anytime you’re doing stuff with the kidneys fluid volume overload um so if you have any questions leave them in the comments and i hope you have a great weekend

Transcribed from video
Pharm Friday: Lisinopril By This is not my first rodeo.