close monitoring is necessaryPerform/provide:•Storage protected from lightEvaluate:Therapeutic response: decreased weight, edema, pulse, respiration, rales; increased urine output; serum digoxin level (0.5-2 ng/ml)Teach patient/family:•Not to stop drug abruptly; teach all aspects of drug, to take exactly as ordered•To avoid OTC medications, since many adverse drug interactions may occur; do not take antacid at same time•To notify physician of any loss of appetite, lower stomach pain, diarrhea, weakness, drowsiness, headache, blurred or yellow vision, rash, depression, toxicity•Toxic symptoms of this drug and when to notify physician•To maintain a sodium-restricted diet as ordered•To report shortness of breath, difficulty breathing, weight gain, edema, persistent coughTreatment of overdose: Discontinue drug; administer K; monitor ECG, administer an adrenergic blocking agent, digoxin immune FABFOSINOPRILMonoprilFunc. class.: AntihypertensiveChem. class.: Angiotension-converting enzyme (ACE) inhibitorAction: Selectively suppresses renin-angiotensin-aldosterone system; inhibits ACE; prevents conversion of angiotensin I to angiotensin II; results in dilation of arterial, venous vesselsUses: Hypertension, alone or in combination with thiazide diureticsDosage and routes:•Adult: PO 10 mg qd initially, then 20-40 mg/day divided bid or qdAvailable forms: Tabs 10, 20 mgSide effects/adverse reactions:CV:Hypotension, chest pain, palpitations, angina, orthostatic hypotensionGU:Proteinuria, Increased BUN, creatinine, decreased libidoHEMA:Decreased Hct, Hgb, eosinophilia, leukopenia, neutropeniaINTEG:Angioedema, rash, flushing, sweating, photosensitivity, pruritusRESP:Cough, sinusitis, dyspnea, bronchospasmMETA:HyperkalemiaGI:Nausea, constipation, vomiting, diarrheaCNS:Insomnia, paresthesia, headache, dizziness, fatigue, memory disturbance, tremor, mood changeMS:Arthralgia, myalgiaContraindications: Hyper...
