Nurse Directories on: The Nurse Friendly
Vasotec (enalapril maleate) ACE Inhibitors,
Hypertension Medications

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Enalapril (Vasotec), Molecular Expressions:"Enalapril is a member of the Angiotensin-Converting Enzyme (ACE) inhibitors that is used to treat high blood pressure (antihypertensives). Enalapril itself is a "pro-drug" being converted in vivo into the active agent, enalaprilat that actually suppresses ACE. Side effects include dizziness, skin rash, confusion, and irregular heartbeat." http://micro.magnet.fsu.edu/pharmaceuticals/pages/enalapril.html Enalapril Maleate:"Intravenous enalaprilat, or oral enalapril, after hydrolysis to enalaprilat, inhibits angiotensin-converting enzyme (ACE) in human subjects and animals. ACE is a peptidyl dipeptidase that catalyzes the conversion of angiotensin I to the vasoconstrictor substance, angiotensin II. Angiotensin II also stimulates aldosterone secretion by the adrenal cortex. The beneficial effects of enalapril in hypertension and heart failure appear to result primarily from suppression of the renin-angiotensin-aldosterone system. Inhibition of ACE results in decreased plasma angiotensin II, which leads to decreased vasopressor activity and to decreased aldosterone secretion. Although the latter decrease is small, it results in small increases of serum potassium. In hypertensive patients treated with enalapril alone for up to 48 weeks, mean increases in serum potassium of approximately 0.2 mEq/L were observed. In patients treated with enalapril plus a thiazide diuretic, there was essentially no change in serum potassium. (See PRECAUTIONS.) Removal of angiotensin II negative feedback on renin secretion leads to increased plasma renin activity." http://www.rxlist.com/cgi/generic/enalap.htm VASOTEC* (Enalapril Maleate):"Heart Failure: In trials in patients treated with digitalis and diuretics, treatment with enalapril resulted in decreased systemic vascular resistance, blood pressure, pulmonary capillary wedge pressure and heart size, and increased cardiac output and exercise tolerance. Heart rate was unchanged or slightly reduced, and mean ejection fraction was unchanged or increased. There was a beneficial effect on-severity of heart failure as measured by the New York Heart Association (NYHA) classification and on symptoms of dyspnea and fatigue. Hemodynamic effects were observed after the first dose, and appeared to be maintained in uncontrolled studies lasting as long as four months. Effect s on exercise tolerance, heart size, and severity and symptoms of heart failure were observed in placebo-controlled studies lasting from eight weeks to over one year." http://www.druginfonet.com/vasotec.htm Some Popular Blood Pressure Medications Work Better than Others: http://www.pslgroup.com/dg/DA02.htm Vasotec & Cholesterol, Med Help International:"My question, and sorry about so much detail, is both times that I have been put on relatively high doses of Vesotec by cholesterol has risen. 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Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand: Barco, Birkenstock, Cherokee, Crest, Dickies, Disney, Haflinger, Landau, Nurse Mates, Peaches, Rockport, Romika, White Cross, White Swan See also: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie Surprised? eBay Has Nursing Supplies, scrubs, uniforms, stethescopes, etc.:"You can find nursing supplies right here! 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Box 388 Centerbrook, CT 06409-03881 http://www.nursefriendly.com/station/ Nursing In The Media, Nursingadvocacy.org ER:"Media products under your influence, particularly the NBC/Warner drama "ER," are harming the profession of 2.7 million American nurses by giving the public an inaccurate and inadequate account of what nurses really do to save and improve lives. Research suggests that "ER" strongly and negatively influences the way children view nursing. These products contribute to the nursing shortage, a public health crisis that threatens millions worldwide." NBC's "Passions":"NBC's "Passions" solves nursing shortage: monkeys can do the job! Starting in March 2003 and at least as recently as late August, NBC's campy, supernatural daytime soap opera "Passions" has featured an orangutan named Precious in the role of the private duty nurse of one of its characters--a bold step backwards in the already slow...evolution...of the media's treatment of nurses. more..." "Scrubs" defines nursing:""Scrubs" defines nursing: it's all about shutting up and following physician "orders. " Tonight's episode of NBC's "Scrubs," which purports to teach nurse Carla Espinosa that nursing is all about doing what physicians tell you, is one of the most virulently anti-nurse prime time television episodes the Center has ever seen. more..." http://www.nursingadvocacy.org/ Nursing Chat, Nurse Discussion Forums: http://nursingdiscussions.com Alphabetical Nursing Topic Discussion, Chat List Are good CNA jobs that hard to find? Being A Male Nurse Curtailing Workplace Gossip Dealing With Confrontation In Nursing Degree Vs Diploma EKG Classes First Year On The Floor Horror Stories -- working short staffed How Many Hours A Week Do You Work Impaired Nurses Liability Question for Experienced Nurses LPN vs. RN vs. BSN, etc... Male Nurses Mandatory BSN to practice nursing being considered Mean Age of RNs Military Nursing More Foreign Nurses, Is It A Plot? Nurse Entrepreneurs Nurses Aides, Can't Live With Them. . . Nurses In Recovery: Nursing & Adult ADD Put Male Nurses In Panties Rude Doctors Specialty Nursing Staff Nurses Tattoos In The Workplace The Nursing Shortage, Your Opinions To Stay In Nursing or Not Travel Nurses Talk Travel Nursing Workplace Violence, Horizontal Violence Against Nurses ****************************************************** ****************************************************** The Uniform Resource Locator (URL) or Internet Street Address of this page is http://www.prescriptionforviagra.com/drugs/ace.inhibitors/vasotec.enalapril.maleate.htm Send comments and mail to Andrew Lopez, RN Created on Saturday, May 22, 1999 Last updated by Andrew Lopez, RN on Wednesday, February 27, 2008