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 158/92. He is prescribed hydrochlorothiazide 50mg/day and told to eat food rich in potassium 1. How does hydrochlorothiazide differ from furosemide (Lasix)? What are there similarities and their differences? 2. Why is it necessary for Joe to eat food rich in potassium when taking 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. 5. Should Joe receive a potassium supplement? Explain your answer. 6. What nursing interventions should the nurse follow for Joe? studies hy hes mns wit As you question Jeff, he remembers that he had a proti takes Prilosec OTC as needed. 4. What concerns do you have about this, if any?

Answer 1

1. Lasix is a diuretic (water pill) used to eliminate water and salt from the body. ... Hydrochlorothiazide is a diuretic prescribed to treat high blood pressure, edema caused by heart failure, cirrhosis, chronic kidney failure, nephrotic syndrome, and corticosteroid medications.

Both hydrochlorothiazide and furosemide significantly reduced blood pressure (BP) during three months of therapy. However, the fall in BP was consistently greater with hydrochlorothiazide than with furosemide, although the difference was significant only with respect to systolic BP.

Lasix (furosemide) and hydrochlorothiazide are diuretics (water pills) used treat excess accumulation of fluid or swelling of the body (edema) caused by heart failure, kidney disease, chronic kidney failure, or liver disease. Lasix and hydrochlorothiazide are also used to treat high blood pressure (hypertension).

Hydrochlorothiazide is also used to treat edema due to use of corticosteroid medications. It is also used to treat calcium-containing kidney stones.

Lasix is a brand name for furosemide.

Side effects of Lasix and hydrochlorothiazide that are similar include low blood pressure, sensitivity to light, rash, nausea, and abdominal pain.

Side effects of Lasix that are different from hydrochlorothiazide include dehydration, electrolyte depletion, yellowing skin and eyes .