What labs do you monitor with hydrochlorothiazide?
What labs do you monitor with hydrochlorothiazide?
Lab Test Considerations: Monitor electrolytes (especially potassium), blood glucose, BUN, and serum uric acid levels before and periodically throughout course of therapy.
What should you monitor with diuretics?
Clinicians should include periodic monitoring of blood pressures, fluid status (including weight), serum electrolytes, and renal function in continued diuretic treatments. Goals for diuresis should consist of dosage adjustments as patients progress with their response to the diuretics.
What should I watch when taking hydrochlorothiazide?
This medication may cause dehydration and electrolyte imbalance. Tell your doctor right away if you have any symptoms of dehydration or electrolyte imbalance, including: extreme thirst, very dry mouth, muscle cramps/weakness, slow/fast/irregular heartbeat, confusion, decreased urination.
Does HCTZ affect potassium?
Hydrochlorothiazide acts on the distal convoluted tubules and inhibits the sodium chloride co-transporter system. This action leads to a diuretic action that lowers blood pressure, but there is also a potassium loss in the urine.
Is HCTZ potassium wasting?
Unlike other diuretics, potassium-sparing diuretics do not cause the body to lose potassium. Potassium-sparing diuretics are often prescribed in combination with another diuretic, most often hydrochlorothiazide.
When should I test my labs after taking hydrochlorothiazide?
MODERATE AND HIGH RISK PATIENTS (see above) – check at 4 and 10 days. Checks should also be sent after dose increases, and if diuretic doses are increased.
For which laboratory result should the nurse monitor in a patient receiving hydrochlorothiazide?
Use with caution in severe renal disease. Patients who are taking thiazide diuretics should be monitored for electrolyte depletion, dehydration, weakness, hypotension, renal impairment, and hypersensitivities.
Is HCTZ potassium sparing?
The combination potassium-sparing diuretics are: Aldactazide (spironolactone/hydrochlorothiazide)
Does HCTZ cause hypokalemia?
Hypokalemia. Most widely recognized, the first adverse effect of thiazide diuretics is hypokalemia. As discussed above, hypokalemia is a sequela of the aldosterone-mediated actions of the Na/K pump in the CT. Hypokalemia can be life-threatening and requires monitored during the first 2-3 weeks of HCTZ therapy.
Is HCTZ potassium-sparing or wasting?
The drug has been widely used to treat hypertension globally and is relatively very safe. Hydrochlorothiazide acts on the distal convoluted tubules and inhibits the sodium chloride co-transporter system. This action leads to a diuretic action that lowers blood pressure, but there is also a potassium loss in the urine.
