Losartan (Cozaar) Nursing Considerations

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Kara Tarr
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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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Pharm 1

Concepts Covered:

  • Test Taking Strategies
  • Learning Pharmacology
  • Medication Administration
  • Dosage Calculations
  • Adult
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Cardiovascular Disorders
  • Vascular Disorders
  • Hematologic Disorders
  • Acute & Chronic Renal Disorders
  • Disorders of Pancreas
  • Female Reproductive Disorders
  • Immunological Disorders
  • Urinary System
  • Central Nervous System Disorders – Brain
  • Pregnancy Risks
  • Neurological
  • Disorders of the Posterior Pituitary Gland
  • Shock
  • Male Reproductive Disorders
  • Urinary Disorders

Study Plan Lessons

12 Points to Answering Pharmacology Questions
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Interactive Practice Drip Calculations
Pediatric Dosage Calculations
ACLS (Advanced cardiac life support) Drugs
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Anti-Platelet Aggregate
Clopidogrel (Plavix) Nursing Considerations
Coumarins
Warfarin (Coumadin) Nursing Considerations
Thrombin Inhibitors
Enoxaparin (Lovenox) Nursing Considerations
Heparin (Hep-Lock) Nursing Considerations
Thrombolytics
Alteplase (tPA, Activase) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Antidiabetic Agents
Glipizide (Glucotrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Insulin
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Essential NCLEX Meds by Class
Renin Angiotensin Aldosterone System
Sympatholytics (Alpha & Beta Blockers)
Atenolol (Tenormin) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
ACE (angiotensin-converting enzyme) Inhibitors
Captopril (Capoten) Nursing Considerations
Enalapril (Vasotec) Nursing Considerations
Lisinopril (Prinivil) Nursing Considerations
Angiotensin Receptor Blockers
Losartan (Cozaar) Nursing Considerations
Calcium Channel Blockers
Amlodipine (Norvasc) Nursing Considerations
Diltiazem (Cardizem) Nursing Considerations
Nifedipine (Procardia) Nursing Considerations
Verapamil (Calan) Nursing Considerations
Cardiac Glycosides
Digoxin (Lanoxin) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Furosemide (Lasix) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Spironolactone (Aldactone) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
HMG-CoA Reductase Inhibitors (Statins)
Atorvastatin (Lipitor) Nursing Considerations
Magnesium Sulfate
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Vasopressin
Epinephrine (EpiPen) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Anti-Infective – Sulfonamides
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Insulin Drips