Losartan (Cozaar) Nursing Considerations
Included In This Lesson
Study Tools For Losartan (Cozaar) Nursing Considerations
Outline
Generic Name
losartan
Trade Name
Cozaar
Indication
hypertension, DM neuropathy, CHF
Action
inhibits vasoconstrictive properties of angiotensin II
Therapeutic Class
antihypertensives
Pharmacologic Class
angiotensin II receptor antagonist
Nursing Considerations
• may cause hypotension, tacycardia, angiodema, hyperkalemia
• may increase digoxin levels
• assess blood pressure and heart rate
• assess fluid levels
• monitor daily weights with CHF
• monitor renal and liver
• instruct patient on how to take blood pressure
Transcript
Okay, let’s talk about Losartan also known as Cozaar. This is an oral medication, as you can see here. Remember the therapeutic class is how the drug works in the body. And for Losartan it’s an anti-hypertensive in the Pharmac logic class is the chemical effect of the drug. And in this case is an angiotensin two receptor antagonists, or a R B Losartan works by inhibiting vasoconstrictive properties of angiotensin two. We use Losartan for the treatment of hypertension for diabetic neuropathy, and also for the treatment of congestive heart failure. Some of the side effects that we see with Losartan are hypotension, tachycardia, angioedema, and hyperemia.
So let’s take a look at a few nursing considerations, Losartan, be sure while the patient is on Losartan, you assess their blood pressure, their heart rate, and also their fluid levels monitor daily weights in patients who have congestive heart failure. Also renal and liver labs should be monitored while on Losartan. It’s important to know that de jocky levels may be increased with Losartan. So blood levels should definitely be monitored while on both medications, be sure to teach the patient how to take their own blood pressure, whether that means at their local pharmacy or with an at home monitor. One important interaction is between Losartan or any ARB in common with ACE inhibitors. Combination of these have been studied, but has been found to have little to no benefit, but does have a significant risk of hyperemia sometimes so bad that it does require hospitalization. So no, no use of ARBs and ACE inhibitors together. That’s it for Losartan or Cozart, and I’ll go out and be your best self today. And as always happy nursing.
Medical-Surgical Nursing Study Plan
Concepts Covered:
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Hematologic Disorders
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Central Nervous System Disorders – Brain
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Immunological Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Medication Administration
- Renal Disorders
- Disorders of Pancreas
- Shock
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Vascular Disorders
- Respiratory Emergencies
- Peripheral Nervous System Disorders
- Studying
- Upper GI Disorders
- Communication
- Integumentary Disorders
- Lower GI Disorders
- Urinary Disorders
- Liver & Gallbladder Disorders
- Musculoskeletal Disorders
- Circulatory System
- EENT Disorders
- Noninfectious Respiratory Disorder
- Postoperative Nursing
- Neurological Emergencies
- Neurological Trauma
- Disorders of the Posterior Pituitary Gland
- Integumentary Important Points
- Disorders of the Thyroid & Parathyroid Glands
- Microbiology
- Tissues and Glands
- Disorders of Thermoregulation
- Urinary System
- Emergency Care of the Neurological Patient
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Nervous System
- Respiratory Disorders
- Respiratory System
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Infectious Disease Disorders
- Perioperative Nursing Roles
- Shock
- EENT Disorders