16.03 Hydrochlorothiazide (Hydrodiuril)

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Generic Name

hydrochlorothiazide

Trade Name

HydroDiuril

Indication

Hypertension, CHF, renal dysfunction, cirrhosis, glucocorticoid therapy

Action

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,
dehydration
• 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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