Question

22. Brendan, a 39-year-old bricklayer, is taking a thiazide diuretic for hypertension. During a follow-up visit, he tells the nurse that he thinks the drug is affecting his "love life." a. b. To what adverse effect of thiazide therapy is Brendan probably referring? While the nurse is talking, she notices a pack- age of licorice in Brendan's coat pocket. He tells her that he eats the candy "for energy," especially because he has been feeling so tired the past couple of days. What will the nurse tell Brendan? 23. The nurse receives a call from Mrs. H., who recently started diuretic therapy for hypertension. Mrs. H. is concerned because her neighbor, who also takes medication for hypertension, has told her not to eat a lot of bananas or other foods containing potassium. "But you told me to eat foods high in potassium," Mrs. H. says to the nurse, "What's going on?" What will the nurse respond to Mrs. H.? 24. Mrs. P. will be started on diuretic therapy for hypertension, but she also has moderate renal failure. Which diuretic a loop diuretic or a thiazide di uretics would be more effective for Mrs. P.? Explain your answer Case Study Read the scenario and answer the following questions on a separate sheet of paper. Lily has been taking furosemide (Lasix) for 3 months as part of her treatment for heart failure. At this time, she is complaining that she is feeling tired and has muscle weakness and no appetite her blood pressure is 100/50 mm Hg. What do her symptoms suggest? How did this happen? 1. 2. What dietary measures could she have taken to prevent this problem?

Answer 1

22. Breden is probably referring about sexual dysfunction which is one of the side effects of thiazide diuretic . Licorice is a herbal product used for soothing stomach problems but it has many side effects whi h is addiy his problems . It causes erectile dysfunction , decreased libido and increases blood pressure . And the extreme weakness or tiredness is due to decreased potassium level . He is advised to eat foods high in potassium .

23. The nurse's response to Mrs H ,that there are different types of diuretics and the diuretics you are taking is type of diuretic which causes loss of potassium through urine that's why you are adviced to eat food high in potassium .

24. The thiazides are ineffective when renal blood flow is low, which may explain their lack of efficacy as a sole agent in patients with severe heart failure. Thiazide diuretics decrease glomerular filtration rate, which may explain their lack of efficacy in patients with renal failure.

Case study :

1. Her symptoms are suggestive of hypokalemia . Due to increased intake of lasix reabsorption of sodiy occur and potassium is excreted out through urine .

2. If she have taken a diet rich in potassium she could have prevented this .