Thiazide diuretics

Thiazide diuretics are commonly used to treat __________.

Hypertension, heart failure, cirrhosis of the liver, and renal failure.

Common adverse drug reactions of thiazide diuretics include __________.

Electrolyte imbalance, hyperglycemia, and increased uric acid levels.

The most common electrolyte imbalance associated with hydrochlorothiazide is __________.

Hypokalemia.

Patients taking hydrochlorothiazide should monitor for signs of __________ imbalance.

Electrolyte.

If a patient has hypokalemia, it is important to monitor for __________.

Dysrhythmias.

Hydrochlorothiazide may be combined with a potassium supplement if __________ occurs.

Hypokalemia.

Patients with diabetes mellitus should monitor their __________ while taking hydrochlorothiazide.

Blood glucose.

Clients are advised to eat foods rich in __________ while taking thiazide diuretics.

Potassium.

Signs of electrolyte imbalance to report include confusion, muscle twitching, __________, and nausea.

Weakness.

Hydrochlorothiazide should be administered with __________ to minimize GI effects.

Food.

The last dose of hydrochlorothiazide should be given by __________ to prevent nocturia.

3 p.m.

Hydrochlorothiazide is contraindicated in patients with an allergy to __________.

Thiazides or sulfonamides.

Patients with greatly decreased urine output may be __________ from taking hydrochlorothiazide.

Contraindicated.

Patients with renal or hepatic disorders should use caution when taking __________.

Thiazide diuretics.

NSAIDs can __________ the effectiveness of hydrochlorothiazide.

Reduce.

An increase in uric acid levels may lead to __________ in susceptible clients.

Gouty arthritis.

Patients taking corticosteroids may be at increased risk for __________ while taking hydrochlorothiazide.

Hypokalemia.

One way to combat the potential for hypokalemia is by combining hydrochlorothiazide with a __________ diuretic.

Potassium-sparing.

Lithium toxicity may occur as an interaction with thiazide __________.

Diuretics.

Cholestyramine or colestipol can decrease the __________ of hydrochlorothiazide.

Absorption.

Hydrochlorothiazide can be given alone or in a fixed-dose combination with medications such as __________ blockers.

Beta.

Patient education for clients with diabetes includes monitoring blood glucose levels for __________ hyperglycemia.

Persistent.

Monitor serum electrolyte levels periodically; notify provider for __________ levels.

Abnormal.

Fluid loss due to thiazide use can lead to __________ dehydration.

Severe.

Clients are advised to report symptoms of __________ to their provider.

Gout.

Caution should be exercised in administering hydrochlorothiazide to __________ adults.

Older.

Pregnant or lactating women should consider __________ when using thiazide diuretics.

Precautions.

Hydrochlorothiazide is available in __________ form.

Oral.

For patients taking hydrochlorothiazide, monitoring of __________ levels is necessary if diabetes is present.

Blood glucose.

Hydrochlorothiazide therapy may require careful monitoring in patients with __________ disorders.

Renal.