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Telmisartan

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Clinical Medications Worksheets Generic Name Trade TELMISARTAN Name Micardis Peak

30-60min

Classification Dose Route Time/frequency 40mg PO 0900 Daily Angiotensin II receptor antagonist Antihypertensive Onset Duration For IV meds, compatibility with IV drips and /or Depending on dose 24hrs solutions Nursing Implications (what to focus on) Contraindications/warnings/interactions Use cautiously with hepatic or biliary dysfunction, hypovolemia, clients on dialysis may develop orthostatic hypotension.

Mechanism of action and indications (Why med ordered)


Client is receiving this medication for HTN.

Selectively blocks the binding of angiotensin II to specific tissue receptors found in the vascular smooth muscle and adrenal gland; this action blocks the vasoconstriction effect of the renin- angiotensin system, as well as the release of aldosterone, leading to the decrease of BP.

Common side effects Hypotension, palpitations. Asthma, dyspnea, epistaxis, pain, dizziness, UTI, flu like symptoms, diarrhea, fatigue, myalgia, N&V. abdominal pain, Cough, Pharyngitis, chest pain

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increase digoxin peak plasma levels

Lab value alterations caused by medicine


Increase in CR decrease in HG

Be sure to teach the patient the following about this medication


Take at same time daily, lifestyle changes : regular exercise, stop smoking, low salt intake, healthy diet, low stress. Use caution may experience dizziness, change positions slowly. Come to all F/U assessments for signs and symptoms of adverse effects.

Nursing Process- Assessment (Pre-administration assessment)


Monitor vital signs. BP, CR levels (hepatic functioning)

Assessment Why would you hold or not give this med?


Symptomatic hypotension occurring, Cr levels are too high.

Evaluation
Decrease in Blood Pressure

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