NURS 1556 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

Hydrochlorothi HCTZ Antihypertensives 12.5 mg PO QD
azide diuretics, thiazide
diuretics
Peak Onset Duration For IV meds, compatibility with IV drips and /or
3-6 hours 2 hours 6-12 hours solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
Management of mild to mederate hypertension. Contraindications/warnings/interactions -
Treatment of edema associated with: CHF, Renal Hypersensitivity/ can cause additive hypotension with
dysfunction, Acirrhosis, Glucocoritcoid therapy, Estrogen other antihypertensives.
therapy. Increases excretion of sodium and water by Common side effects - Hypokalemia, hyperuricemia
inhibiting sodium reabsorption in the distal tubule.
Promotes excretion of Cl-, K+, Mg+2, and bicarbonate.
May produce arteriolar dilation. Lowering of blood
pressure in hypertensive patients and diuresis with
mobilization of edema. Afib.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) - May cause an increase in serum bilirubin, calcium,
Other hypertensives, such as Metoprolol, NSAIDs creatinine, and uric acid, and a decrease in magnesium,
potassium, sodium, and urinary calcium concentrations.
Be sure to teach the patient the following about this
medication - Take at the same time each day, change
positions slowly to minimize orthostatic hypotension,
report muscle wakness, cramps, nausea, vomiting,
diarrhea, or dizziness to health care professionals.
Encourage pt to comply with additional interventions for
hypertension including a low sodium diet and smoking
cessation.
Nursing Process- Assessment Assessment Why would you hold or Evaluation Check after
(Pre-administration assessment) - Take blood not give this med? - Blood pressure giving - Decrease in BP,
pressure abnormally low increase in urine output