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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Classification Dose Route Time/frequency


Hydrochlorothiazid Name Diuretics, 25 mg PO Q AM
e Hydrodiuril Antihypertensive
Peak Onset Duration Normal dosage range
3-6 hr 2 hr 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 For IV meds, compatibility with IV drips and/or
Treatment of edema solutions
N/A

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
Increases excretion of sodium and water by inhibiting sodium Hypersensitivity
reabsorption in the distal tubule. Promotes excretion of
chloride, potassium, magnesium, and bicarbonate. May Common side effects
produce arteriolar dilation. 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 Check after giving
Monitor BP, I & O and daily weight assess feet legs this med? Decrease in BP
and sacral area for edema daily Hypersensitivity Increase in urine output
Decrease in edema