Show Drug NameGeneric Name : hydrochlorothiazide Brand Name: Apo-Hydro (CAN), Ezide, HydroDIURIL, Hydro-Par, Microzide Capsules Classification: Thiazide diuretic Pregnancy Category B Dosage & RouteAvailable forms: Tablets—25, 50, 100 mg; solution—50 mg/5 mL; capsules—12.5 mg
General guidelines: 2.2 mg/kg/day PO in 2 doses.
Therapeutic actions
Indications
Adverse effects
Contraindications
Nursing considerationsAssessment
What are nursing considerations for diuretics?Nursing Considerations
Monitor weight, intake, output, and serum electrolyte levels. Monitor blood glucose levels (some agents may cause hyperglycemia). Follow blood urea nitrogen and creatinine levels regularly. Administer diuretics in the morning to prevent nocturia.
What do you teach patients about diuretics?Patient/Family Teaching
Instruct patient to take medication exactly as directed. Advise patients on antihypertensive regimen to continue taking medication, even if feeling better. Medication controls, but does not cure, hypertension. Caution patient to make position changes slowly to minimize orthostatic hypotension.
What are the nursing considerations for hydrochlorothiazide?Nursing considerations. Give with food or milk if GI upset occurs.. Mark calendars or provide other reminders of drug for alternate day or 3–5 days/wk therapy.. Reduce dosage of other antihypertensives by at least 50% if given with thiazides; readjust dosages gradually as BP responds.. What should I watch with thiazide diuretics?Side effects include increased urination and sodium loss. Diuretics can also affect blood potassium levels. If you take a thiazide diuretic, your potassium level can drop too low (hypokalemia), which can cause life-threatening problems with your heartbeat.
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