ASSESSMENT Assess for hypersensitivity to the drug sulfonamides or to other

Assessment assess for hypersensitivity to the drug

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ASSESSMENTAssess for hypersensitivity to the drug, sulfonamides, or to other sulfonamidederivatives; renal/hepatic impairment; suprarenal gland failure; hyperchloremic acidosis;any other conditions where treatment is contraindicated or cautioned; pregnancy/nursingstatus; and possible drug interactions. Obtain baseline CBC and platelet count.MONITORINGMonitor for signs/symptoms of hypersensitivity or other serious reactions, and for otheradverse reactions. Perform periodic monitoring of CBC, platelet count, and serumelectrolytes.PATIENT COUNSELING
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Inform of the adverse reactions associated with therapy; instruct to promptly report tophysician if any signs/symptoms develop. Advise if using therapy for acute mountainsickness, that gradual ascent is desirable to try to avoid acute mountain sickness; informthat if rapid ascent is undertaken and acetazolamide is used, it should be noted that suchuse does not obviate the need for prompt descent if severe forms of high altitude sicknessoccur. Instruct to notify physician of all drugs concurrently being taken (eg, ASA), and ifpregnant/breastfeeding.Hydrochlorothiazide Tablets(hydrochlorothiazide)THERAPEUTIC CLASSThiazide diureticADULT DOSAGE & INDICATIONS
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EdemaFor edema due to renal dysfunction (eg, nephrotic syndrome, acute glomerulonephritis,chronic renal failure), edema in pregnancy due to pathologic causes and adjunctivetherapy for edema associated w/ congestive heart failure, hepatic cirrhosis, andcorticosteroid and estrogen therapyUsual:25-100mg/day as a single or divided dose. May give qod or 3-5 days/weekHypertensionInitial:25mg qdTitrate:May increase to 50mg/day as a single or 2 divided dosesPEDIATRIC DOSAGE & INDICATIONSDiuresisUsual:1-2mg/kg/day in single or 2 divided dosesMax:<6 Months:3mg/kg/day in 2 divided dosesInfants up to 2 Years:37.5mg/day 2-12 Years:100mg/dayHypertensionUsual:1-2mg/kg/day in single or 2 divided dosesMax:
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<6 Months:3mg/kg/day in 2 divided dosesInfants up to 2 Years:37.5mg/day 2-12 Years:100mg/dayADMINISTRATIONOral routeHOW SUPPLIEDTab: 12.5mg, 25mg*, 50mg* *scoredCONTRAINDICATIONSAnuria, hypersensitivity to this product or to other sulfonamide-derived drugs.WARNINGS/PRECAUTIONSCaution with severe renal disease; may precipitate azotemia. Caution with hepaticimpairment or progressive liver disease; may precipitate hepatic coma. Sensitivityreactions may occur in patients with or without a history of allergy or bronchial asthma.Possibility of exacerbation/activation of systemic lupus erythematosus (SLE) reported.May cause idiosyncratic reaction, resulting in acute transient myopia and acute angle-closure glaucoma; d/c as rapidly as possible. Observe for evidence of fluid/electrolyteimbalance (eg, hyponatremia, hypochloremic alkalosis, hypokalemia). Hypokalemia maysensitize or exaggerate the response of the heart to toxic effects of digitalis.
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  • Summer '16
  • adverse reactions, Nursing Considerations, Usual dosage

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