Commonly Administered Medications

HTNCHFEdema

Inhibit NA and CL absorption causing excretion of h2o/they act on the kidneys to increase urine output

K depleting or K sparing

Hypokalemia, dysrhythias, postural hypotension, weakness, dizziness, dehydration, N & V, headache, confusion
*low or high K always think cardiac arrythmia

Morning is best to prevent patient injury due to increased night time trips to the bathroom

-take with food to prevent GI upset-advise pt to rise slowly out of bed d/t orthostatic hypotension-encourage pt to use a sunblock d/t photosensitivity & dont stay out long-Discuss high K foods: citrus, bananas, apricots, dates-take med early to prevent nocturia-teach to take BP and P and record

-timing of med-teach to maintain record of weekly weights (if it's edema-see if they really are losing weight-check electrolytes (K and Na)-check I & O-check if on K supplement

Na goes where h2o goes

K = 3.5-5.0Na= 135-145

-weakness-decreased deep tendon reflexes-abdominal distension-diarrhea-paresthesias-bradycardia

-fresh apricots-avocados-bananas-cantaloupe-honeydew-kiwi-lima beans-milk -potatoes-prunes-spinach-tomato

Sudden low bp that occurs when a person stands up.

Hypovolemia (a decrease in the amount of blood in the body) resulting from the excessive use of diuretics, vasodilators or other types of drugs

Apples

-reduces peripheral edema from CHF and hepatic and renal disease. Highly effective in the tx of pulmonary edema and HTN
-acts in the ascending Loop of Henle-cause a rapid response-interferes with the reabsorption of NaCl producing profound diuresis