Hydrochlorothiazide

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Hydrochlorothiazid e Peak 3-6 hr

Trade Name Hydrodiuril Onset 2 hr

Classification Dose Route Time/frequency Diuretics, 25 mg PO Q AM Antihypertensive Duration Normal dosage range 6-12 hr 12.5-100 mg/day in 1-2 doses up to 200 mg/day:not to exceed 50 mg/day for hypertension

Why is your patient getting this medication Treatment of edema

For IV meds, compatibility with IV drips and/or solutions N/A

Mechanism of action and indications (Why med ordered) Increases excretion of sodium and water by inhibiting sodium reabsorption in the distal tubule. Promotes excretion of chloride, potassium, magnesium, and bicarbonate. May produce arteriolar dilation.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity

Common side effects Dizziness, drowsiness, lethargy, weakness, hypotension, anorexia, cramping, nausea, vomiting, hypokalemia, dehydration, hypercalcemia. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Monitor electrolytes especially K, Blood glucose, BUN, Additive hypotension with other antihypertensives. serum creatinine, and uric acid levels. Be sure to teach the patient the following about this medication Take at the same time each day. Do not double doses. Monitor weight biweekly, change positions slowly. Report muscle weakness, cramps, nausea, vomiting, diarrhea. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give Monitor BP, I & O and daily weight assess feet legs this med? and sacral area for edema daily Hypersensitivity

Check after giving Decrease in BP Increase in urine output Decrease in edema