16.03 Hydrochlorothiazide (Hydrodiuril)

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Generic Name


Trade Name



Hypertension, CHF, renal dysfunction, cirrhosis, glucocorticoid therapy


Increases sodium and water excretion and produces arterial vasodilation

Therapeutic Class

antihypertensives, diuretics

Pharmacologic Class

thiazide diuretics

Nursing Considerations

• May cause dizziness, hypokalemia, hyponatremia, hypophosphatemia, hypomagnesemia,
• Hypokalemia can increase risk for digoxin toxicity
• Monitor blood pressure and intake and output
• Monitor electrolyte levels
• Patient should take medication at the same time each day even if feeling better
• Instruct patient on how to take blood pressure

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