Autotoxicity: A condition where a substance produced by an organism is toxic to itself.
Uric Acid Increase: Monitor patients with diabetes for increased uric acid levels and blood sugar fluctuations.
Hypotension in Diabetic Patients: Be wary of low blood pressure in diabetic patients.
Medications: Certain medications such as laxatives and aspirin may exacerbate issues, particularly for patients unable to tolerate them.
Importance of Potassium-Rich Foods: Essential for patients taking diuretics. Common foods include:
Spinach
Orange Juice
Monitor patients on diuretics for potential potassium imbalances.
Educate on reporting symptoms such as dizziness or syncope and vitamin B changes.
Daily Weighing: Essential for managing patients on diuretics to identify fluid retention or loss.
Report any fluctuations:
3-pound change in one day.
7-pound change in one week.
This protocol aids in preventing electrolyte imbalances.
Treat Hypertension, edema from heart failure, and cirrhosis.
Adverse Effects: Be aware of hyperkalemia, and other unique symptoms include:
Ventricular irregularities.
Abnormal hair growth, deepening of voice in assigned females at birth.
Patients on Potassium-Sparing Diuretics: Avoid potassium-rich foods (e.g., bananas).
Report any hormonal changes or adverse effects promptly.
Common issues include diarrhea or excessive weight loss due to fluid loss.
Patients with congestive heart failure often require lifelong diuretics.
Follow protocols to avoid rapid weight loss that can lead to electrolytic imbalances.
HCTZ is often combined with other antihypertensive medications.
Caution with dosing, as it could lead to hypotensive episodes.
Monitor patients for kidney function as HCTZ affects electrolytes.
Timing: Diuretics should be administered in the morning to reduce nighttime bathroom trips and falls.
Used for enlarged prostate; reduces prostate cancer risk.
Side effects include decreased libido and ejaculate volume. Monitor PSA levels for effectiveness.
Alpha-adrenergic receptor antagonist.
Used for patients experiencing urinary retention due to enlarged prostate symptoms.
Possible side effects: headache, dizziness, ejaculation failure (retrograde).
Treats urinary urge incontinence and neurogenic bladder.
Considerations: Anticholinergic effects cause dry mouth, constipation, and urine retention.
Monitor hydration levels and educate patients on side effects.
Statins like Rosuvastatin target LDL levels.
Monitor for liver enzyme elevations, teach patients about lifestyle modifications alongside medication.
Adenosine: Used in emergencies for supraventricular tachycardia (SVT).
Administer via IV push for rapid action.
Monitor blood pressure with new antihypertensive medications; teaching patients self-monitoring is crucial.
Report hypotension symptoms and any adverse reactions immediately to healthcare providers.