Question

PN 105 Fundamentals of Nursing I Case Study: Hypertension/Hydrochlorothiazide Joe Quan is a 58-year-old patient, recently diagnosed with hypertension. His resting blood pressure is 15892. He is prescribed hydrochlorothiazide 50mg/day and told to cat food rich in potassium. 1. How does hydrochlorothiazide differ from furosemide (Lasix)? What are there similarities and their differences? Why is it necessary for Joe to eat food rich in potassium when taking 2 hydrochlorothiazide? Explain your answer 3. What are the nursing interventions that should be considered while Joe takes hydrochlorothiazide? After one month on hydrochlorothiazide therapy, Joe becomes weak and complains of nausea and vomiting. His muscles are "soft". His serum potassium level is 3.3 mEq/L. Joe's diuretic is changes to triamterene hydrochlorothiazide (Diazide). Again he is advised to eat foods rich in potassium 4. Explain the rationale for changing Joe's diuretic welamerd wepts ts for t 5. Should Joe receive a potassium supplement? Explain your answer. 6. What nursing interventions should the nurse follow for Joe? 11/18

Answer 1

1.Hydrochlorothiazide differ from furosemide:

920 nin m odo lasin is a diuretic (watu piw used to Eliminant water and salt from The Body & Hydrochlorthiazide is a diuretic prescribed to treat high blood pressure, Edema caused by heart failure, coahusis, chronic kidney failure & wartels estirant

Similarities and differences of hydrochlorothiazide, furosemide:

Id Both hydrochlorothiazide and furosemide significantly reduce Blood pressure during the months of Therapy, A fall is Bp was consistently greater with hydrochlorothiazide Than with furosomice * Difference was significant only with respect to systolic BP

2.potassium rich diet + hydrochlorothiazide:

* Mydrochlox Thiazide car lower potassium levels, * Th produu symptoms of a condition called hypokalemia ox potassium loss * while taking hydrochlorthiazide, you may to take potassium supplenerts, decrease salt ertake and eat a diet rich es potassium with food like Basaras. I may need

3.Nursing intervention:

au boat more to bro se boring & Hypokalemia car irrease risk for is ebigsintrald obrt indigonis tonicity A monitor Blood pressure and intake and output. * monitor Electrolute levels wisp uerbist & patient should take medication at the same time each day Euer og is fulere better asubore etrospinge hos