Hydrochlorothiazide.png - STUDENT NAME MEDICATION...

Unformatted text preview: STUDENT NAME MEDICATION Hydrochlorothiazide REVIEW MODULE CHAPTER 31 CATEGORY CLASS Thiazide diuretic, diuretic PURPOSE OF MEDICATION Expected Pharmacological Action Therapeutic Use Adjunct therapy for edema associated with Ill, cirrhosis, inhibbits the reabbsorption of sodium and corticosteroid or estrogen therapy, and renal dysfunctionn; Irealment of hypertension as monotherapy or in combination chloride in distal renal tubules, increasing the with ollen antihypertensives excretion of sodium, chloride, and water by the kidneys. Complications Medication Administration Hypersensitivity, dizziness, vertigo, orthostatic Adult: 25-100 mg/d intermediately. up hypotension, nausea, anorexia, vomiting, dry mouth, to 200 mg/d maximum for edema; diarrhea, polyurea, nocturea, muscle cramps, or spasms. 25-100 mg/d for hypertension Pediatric (<6mo): up to 3mg/kg/d PO n 2 divided doses Pediatric (6mo-2y):12.5-37.5 mg/d in 2 divided doses Pediatric (2-12y): 37.6-100 mg/d PO in 2 divided doses Contraindications/Precautions Anurea, hypersensitivity, other thiazides, sulfonamide derivatives or their components. Nursing Interventions Monitor glucose levels. Assess BP regularly. Have pt dangle feet before arising from bed Monitor BUN/creatinine Interactions Monitor for fluid/electrolyte ACTH, corticosteroids, amantadine, amiodarone, imalances. antihypertensives, barbituates, calocium, carbamazepine, cholestyramine, cyclosporine, digoxin, insulin, lithium, NSAIDs, oral anticoagulants. Client Education Take early moming/early evening to avoid nocturea Evaluation of Medication Effectiveness Take with good if GI upset. Weigh at same time each day, with Pt has blood glucose WNL similar clothes. Pt ability to urinate in tact. Diet rich in potassium. Pt weight does not increase. Teach about ortho hypotension. BP remains WNL. Seek Dr. if muscle cramps, weakness, No fluid/electrolyte imbalance unusual bleeding or bruising-...
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