"Do you have diabetes mellitus?" Show Difficulty breathing or shortness of breath, fatigue, and headache are indicative of high-altitude sickness. This is usually caused when a person is on a mountaintop. Acetazolamide (Diamox), a carbonic anhydrase inhibitor, is effective in the treatment of high-altitude sickness. However, it is contraindicated in patients with diabetes, because it increases the blood glucose level and causes glycosuria. Therefore, the primary health care provider would need to determine if the patient is diabetic before prescribing the drug. Acetazolamide (Diamox) is beneficial for patients with gastric ulcers, because it reduces the hydrogen and bicarbonate levels in the body, thus reducing the acid secretions. Acetazolamide (Diamox) increases the oxygenation capacity, which is beneficial to patients with bronchial asthma. Acetazolamide (Diamox) is beneficial for patients with open-angle glaucoma, because it reduces the intraocular pressure. What should be monitored when taking hydrochlorothiazide?While the drug is relatively safe, the patient's electrolyte status has to be monitored regularly. Even though hydrochlorothiazide has been the most widely used thiazide drug for hypertension, more recent evidence indicates that it may not be as effective as some of the other thiazide diuretics.
What will be nursing intervention for a client with diuretic therapy?These are vital nursing interventions done in patients who are taking diuretics: Administer drug with food or milk if GI upset is a problem to buffer drug effect on the stomach lining. Administer intravenous diuretics slowly to prevent severe changes in fluid and electrolytes.
What are the nursing considerations for thiazide diuretics?Nursing considerations
Regularly monitor your patient's intake, output, and serum electrolyte levels. Weigh her each morning after voiding and before breakfast, wearing similar clothing and on the same scale, to reliably assess her response to diuretic therapy.
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Which is an appropriate nursing intervention for a patient who is taking hydrochlorothiazide
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