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Losartan (Cozaar) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

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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

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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.

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Pharmacololgy/Dosage Calc

Concepts Covered:

Study Plan Lessons

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Anti-Infective – Penicillins and Cephalosporins

Metronidazole (Flagyl) Nursing Considerations

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Vancomycin (Vancocin) Nursing Considerations

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Magnesium Sulfate

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Corticosteroids

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Benzodiazepines

Calcium Channel Blockers

Parasympathomimetics (Cholinergics) Nursing Considerations

Cardiac Glycosides

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Renin Angiotensin Aldosterone System

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Essential NCLEX Meds by Class

6 Rights of Medication Administration

The SOCK Method – Overview

12 Points to Answering Pharmacology Questions

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Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACLS (Advanced cardiac life support) Drugs

The SOCK Method – Overview

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

NG Tube Medication Administration

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides

Calcium Channel Blockers

Benzodiazepines

Autonomic Nervous System (ANS)

Atypical Antipsychotics

Angiotensin Receptor Blockers

ACE (angiotensin-converting enzyme) Inhibitors

Renin Angiotensin Aldosterone System

6 Rights of Medication Administration

Essential NCLEX Meds by Class

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

54 Common Medication Prefixes and Suffixes

12 Points to Answering Pharmacology Questions

Pharmacology Course Introduction