Regularly monitor blood pressure. Aim for the target blood pressure established by your physician. Document readings meticulously; consistent tracking helps refine treatment.
Blood Chemistry Monitoring
Check potassium levels. Lisinopril can raise potassium levels; high potassium (hyperkalemia) requires prompt attention. Also monitor creatinine levels to assess kidney function. Significant changes warrant a consultation with your doctor.
Patient Education: Key Points
Explain the importance of adherence to the prescribed dosage. Missed doses can reduce effectiveness. Encourage patients to take medication at the same time daily.
Address potential side effects. Discuss common side effects like dry cough, dizziness, and fatigue. Emphasize that these can often lessen over time. However, persistent or worsening side effects need immediate medical attention.
Explain the need for lifestyle modifications. Dietary changes, such as reducing sodium intake, and regular exercise contribute to better blood pressure control. Encourage healthy habits for maximum benefit.
Managing Potential Issues
First-dose hypotension: Explain the risk of low blood pressure, particularly with the first dose or after dose increases. Instruct patients to rise slowly from lying or sitting positions and to report any dizziness or fainting.
Hyperkalemia: Clearly explain the symptoms of high potassium levels (muscle weakness, fatigue, irregular heartbeat). Patients should immediately seek medical help if these symptoms develop. Dietary adjustments may be necessary.
Renal impairment: Patients with kidney problems need close monitoring. Regular kidney function tests are needed to adjust the dose or discontinue the medication if necessary.
Encourage regular check-ups. Schedule routine visits with the physician for continued blood pressure monitoring and assessment of kidney function and potassium levels. This ensures ongoing safety and optimal treatment.
