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How Do ACE Inhibitors Work i.e. Ramipril (Nursing Pharmacology)

  Рет қаралды 12,388

NurseMinder

NurseMinder

Күн бұрын

Пікірлер: 77
@toyalambeth366
@toyalambeth366 Жыл бұрын
You are the best Pharm teacher I have come across! Please come to Nevada and take over our Pharm department! We need it.
@ricks.1318
@ricks.1318 3 жыл бұрын
I am learning SOOOO MUCH from your videos, .... Far MORE than ever explained from my own Cardiologist .... My sincere "Thanks" !!!!!
@NurseMinder
@NurseMinder 3 жыл бұрын
Ah’. That’s so great to hear.
@MoneyMadeMagic
@MoneyMadeMagic Жыл бұрын
Thank you this is so valuable for someone who is newly prescribed ACE inhibitors. I love understanding why i might get side effects and what i might need to tell my doctor .. thank you x
@NurseMinder
@NurseMinder Жыл бұрын
Awesome!
@simonguibord4998
@simonguibord4998 2 жыл бұрын
You are excellent at explaining!! The visuals, the reiterating, wowow thank you thank you
@richardayala4356
@richardayala4356 2 жыл бұрын
Very good! Explains why while I am relaxing and on blood pressure medications, I feel lightheaded, dizzy a bit, and almost a sense of nausea, I begin to feel my blood pressure rise for no reason at all, my heart rate pulse is elevated. After a few hours, I begin to sense a calming change in my body to where I feel more normal again! May not be quit exact to what you are saying, but I feel more relieved by your explanation! Thanks! I see my doctor tomorrow also to explain my events.
@ffionthedog
@ffionthedog Жыл бұрын
Thank you so much. I’ve recently started meds and this is so helpful. Really enjoyed your explanation. 🏴󠁧󠁢󠁷󠁬󠁳󠁿
@NurseMinder
@NurseMinder Жыл бұрын
Thank you
@godschild7393
@godschild7393 3 жыл бұрын
I can’t wait to watch all and note them. Thank you !!! What an awesome teacher
@NurseMinder
@NurseMinder 3 жыл бұрын
Hi, the N95 mask that you need is the one that fits your face. If you are in healthcare, or front line service like police and fire, you will be tested to make sure there are no leaks. If you are in the community buying them off the shelf, there is no way to know if there are leaks (trust me - I have failed many a mask that were snug on my face)
@Ah_Lee_Sun
@Ah_Lee_Sun Жыл бұрын
I’ve recently been prescribed ramopril so this has been a useful video.
@NurseMinder
@NurseMinder Жыл бұрын
Awesome!
@melissaca5407
@melissaca5407 Жыл бұрын
Thank you so much for covering the science behind the medication! I feel like this is crucial knowledge in order for me to answer NCLEX questions accurately rather than just memorizing side effects :)
@NurseMinder
@NurseMinder Жыл бұрын
Glad it it helpful! Thanks for letting me know 😊
@Samiyahification
@Samiyahification 6 ай бұрын
Awesome! Give thanx ❤
@NurseMinder
@NurseMinder 6 ай бұрын
Thank you
@toniencheff4046
@toniencheff4046 2 жыл бұрын
Another great video. Thank you for helping us, Tammy
@NurseMinder
@NurseMinder 2 жыл бұрын
Thanks Toni 🤩
@debbierasmussen4098
@debbierasmussen4098 3 жыл бұрын
Great videos! Very helpful for reviewing and better understanding pharmacology for this RN!
@NurseMinder
@NurseMinder 3 жыл бұрын
Thanks! So happy they help
@cruznvso1860
@cruznvso1860 2 жыл бұрын
Awesome explanation, makes ACE inhibitors understandable👍🏼👍🏼
@BeanzNGreenChili
@BeanzNGreenChili 2 жыл бұрын
Great teacher great video thank you for the info
@JCEcho13
@JCEcho13 3 жыл бұрын
I like the visuals... I always remember that APRIL is hypertensive. Ace + PRIL= APRIL 👩🏼‍🔬
@NurseMinder
@NurseMinder 3 жыл бұрын
Great addition!
@juelzbaylor9511
@juelzbaylor9511 3 жыл бұрын
I guess Im asking randomly but does anyone know of a method to get back into an instagram account..? I was dumb forgot my account password. I love any assistance you can give me
@asakareem4574
@asakareem4574 3 жыл бұрын
@Juelz Baylor instablaster =)
@eg8640
@eg8640 3 жыл бұрын
Thank you for this. I’m a new follower.
@NurseMinder
@NurseMinder 3 жыл бұрын
Thanks for supporting
@roelofvuurboom5939
@roelofvuurboom5939 2 жыл бұрын
Nice explanation.
@abbieanderson3843
@abbieanderson3843 3 жыл бұрын
Your videos are so helpful, thank you!! Is angiotension a protein hormone??
@mrbeebs
@mrbeebs 2 жыл бұрын
Hi, really love the video and I learned a lot. I have recently been diagnosed with Nonischemic Cardiomyopathy (sorry if that is not spelled correctly) and have been prescribed both Ramipril and Bisoprolol for it. But I dont have high blood pressure and my heart rate rests at 70 bpm. So I have been told these meds with ease strain on my heart to stabilize it? Are there any videos are thoughts you might have on these medications being used for my predicament? Sadly they have been making me want to dry heave a lot so my GP has me only using the Ramipril right now to see which one is causing to feel that way. Anywho, thanks for these videos. Appreciate you!
@NurseMinder
@NurseMinder 2 жыл бұрын
I am happy to hear you are working with your healthcare team on this. They will be in the best position to support you
@weightlosszoeller7513
@weightlosszoeller7513 4 жыл бұрын
Very very informative
@NurseMinder
@NurseMinder 4 жыл бұрын
Thank you for writing 🙂
@jjang1013
@jjang1013 2 жыл бұрын
You are awesome!!!
@adrianr650
@adrianr650 Жыл бұрын
Thank you that was well explained. I have enlarged vessels on my feet and hands and some lower leg swelling also recently chilblains and some ankle ache. My heart rate has slowed. I have been taking Ramipril 5mg for about 6 weeks. Can you advise how much the medication may be the cause. Just general without obligation. Thank you very much.
@NurseMinder
@NurseMinder Жыл бұрын
With the heart rate slowing, it may be contributing to the engorgement of the lower limb vessels, and a great conversation to have with your healthcare team. Often we have a multi-prong approach and you may need to add salt restrictions if you have not already. I have a video on heart disease
@adrianr650
@adrianr650 Жыл бұрын
@@NurseMinder Thank you very much. The swelling started when taking Amlodopine and has not really subsided since changing to Ramipril. Health care team are elusive to contact so other help much appreciated.
@godschild7393
@godschild7393 3 жыл бұрын
You are a God sent 💕😍😍thank you
@NurseMinder
@NurseMinder 3 жыл бұрын
The N95 mask in the healthcare field is fit tested - so we have a wide range of them, and if they are not tested to determine if particles are leaking in - then we don't use them. The general public does not have access to the testing so it is a gamble. Even when you think those masks are tight - they can still leak, which is why we have to be tested on a regular basis, Lose weight, gain weight, and your mask needs to be refit.
@michaelchege5833
@michaelchege5833 2 жыл бұрын
nice video very helpful for my examination
@NurseMinder
@NurseMinder 2 жыл бұрын
Awesome :)
@adrianr650
@adrianr650 Жыл бұрын
Hi just listened again. I am on Ramipril 5mg and have the dry tickly cough. Should I change medication or is there any treatment for the cough? Thank you so much.
@NurseMinder
@NurseMinder Жыл бұрын
This is a great question for your healthcare team. They will have a more complete picture of your health.
@medicalchannel8007
@medicalchannel8007 4 жыл бұрын
Great friend ❣️
@NurseMinder
@NurseMinder 4 жыл бұрын
Thank you 🤗
@helenmiles3866
@helenmiles3866 Жыл бұрын
Great vid
@NurseMinder
@NurseMinder Жыл бұрын
Thank you
@siulolovaomesake6778
@siulolovaomesake6778 4 ай бұрын
I read on media what food not to take and i cant take nuts, green vegies , red grapes...all the healthy food interact with this meds😢
@NurseMinder
@NurseMinder 4 ай бұрын
Better to be informed and talk to your pharmacist
@ablam8
@ablam8 2 жыл бұрын
I took remapril, with ckd. My gfr went down 4%. Not recommended for patient with poor kidneys. I was switched to amoledipine, got edema , even calfs were sore. Many contraindications with medicine. Even diaretics can have problems.
@NurseMinder
@NurseMinder 2 жыл бұрын
Yes there is a lot to consider and that is why I recommend people talk to their healthcare team :). I have had many a patient not disclose things to their team. Medicine is not a perfect science- so teamwork is important
@elli003
@elli003 2 жыл бұрын
Love the presentation. Q: When talking about ACE inhibitors, are we talking about the drug inhibiting ACE-2 Receptors at the molecular level ? The same receptors that interact with mRNA vaccines to create a spike protein ?
@NurseMinder
@NurseMinder 2 жыл бұрын
I have not heard about a connection to mRNA vaccines. Do you have a resource I can review?
@elli003
@elli003 2 жыл бұрын
​@@NurseMinder I'm sorry. My question must sound confusing. I'll try to explain this with more precision. Your video was discussing how ACE Inhibitors work. My follow-up question is multi-fold. 1. Are these ACE Inhibitors inhibiting ACE Receptors at the cellular level ? AND IF SO 2. Are these receptors inclusive of the (ACE-2 Receptors) that we hear about when an antigen is introduced to create spike proteins ? 3. IF answer is YES; then wouldn't taking an ACE Inhibitor be counter-productive when being vaccinated with mRNA based vaccines where the Ace Inhibitor would cancel-out the creation of the spike protein ?
@siulolovaomesake6778
@siulolovaomesake6778 4 ай бұрын
So i have to minimise food that has potassium?
@NurseMinder
@NurseMinder 4 ай бұрын
You will want to monitor it - best to talk with your pharmacist
@katherinegordon1482
@katherinegordon1482 3 жыл бұрын
Immediately after you write that angiotensin2 vascodilates, you offer that blood pressure is positively lessened by suppressing it. Perhaps a wedge in-between indicating the hearts importance in management of blood pressure might not apppear to contradict? Also, the hormone induced by the adrenals to dehydrate while pushing 'potassium' - how much of that depends on 'salt'? 'Calcium' is less volatile, produced in histamine reactions to also vascodilate. The accumulative potential of all three, which requires correction to avoid 'hyper', does not appear to be factored in simply by blocking betas. How will favouring the positivity of heavy metal also redistribute it systemically? How to avoid the need for organ specific environmental detox, which adds more stress than continuous flow.
@NurseMinder
@NurseMinder 2 жыл бұрын
great points - sorry I am just seeing this now - I often look at comments on my phone and logged online today to see I have missed hundreds of comments? so weird
@kamartaj
@kamartaj 3 жыл бұрын
Well explained, thanks! Ramipril can increase heart rate to balance, so if someone takes nebivolol (a beta-blocker) to decrease the heart rate, will it be dangerous? What does a blood pressure of 130/70 indicate? Higher systolic and lower diastolic. Let's say someone is using 250 mg of testosterone per week and his BMI is 33, he is by default hypertensive, mostly because of the excess weight. High amounts of testosterone in the body also increased sodium retention and aldosterone. So the person takes eplerenone 25 mg in the morning, 2.5 mg nebivolol BID, and Ramipril 2.5 mg at night to counter the issue. He wants to use testosterone because he needs the extra energy and cognitive benefits to cope with his new stressful job. What would be a good move to make the situation less complicated and safer without compromising the testosterone therapy?
@NurseMinder
@NurseMinder 3 жыл бұрын
Sounds like a great question for your healthcare team! There is a lot to consider in this post and I am not in a position to comment
@kamartaj
@kamartaj 3 жыл бұрын
@@NurseMinder okay, just tell if nebivolol and ramipril combo is safe or not (in general).
@NurseMinder
@NurseMinder 3 жыл бұрын
Combo therapy is often an effective strategy
@gmanjordan4154
@gmanjordan4154 5 ай бұрын
Stop alcohol, stop arguing, pray, eat cruciferous vegetables, meditate, exercise, lose weight, and quit watching the news!
@NurseMinder
@NurseMinder 5 ай бұрын
Haha. Stop watching the news is so legit! Get out there and live :)
@esldave
@esldave 3 жыл бұрын
Hi! First of all, thank you so much for this video! Second, if one is taking Ramipril and having lethargy, cold sweats, malaise, and because of Covid medical attention is sparse (more still on the weekend) -- are there some foods / supplements that would help someone transition onto Ramipril without a few days of feeling really down?!? Thanks.
@NurseMinder
@NurseMinder 3 жыл бұрын
Hi! Those sound like good reasons to connect with your healthcare team - I am not in a position to give medical advice. The signs may / may not be related to your medication
@rcbmulder
@rcbmulder 3 жыл бұрын
Will sometime get used to taking Ramipril in terms of side effects? 5mg od, how long would it take to not feel weird?
@NurseMinder
@NurseMinder 3 жыл бұрын
That is a good question. As everyone will adjust in different ways. Connect with your healthcare team as they are the best people to guide your care
@jessicapopham1578
@jessicapopham1578 2 жыл бұрын
OD means right eye. Shouldn't it be QD???
@NurseMinder
@NurseMinder 2 жыл бұрын
Where in the video did you notice this - I will watch and answer
@satnamkaur6840
@satnamkaur6840 4 жыл бұрын
💖
@veronicashorter726
@veronicashorter726 8 күн бұрын
The side effects are enough to put you off.
@NurseMinder
@NurseMinder 7 күн бұрын
Side effects are important to know about and share with your healthcare team.
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