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Pharm CH28

Terms in this set (34)

Instruct patients to take the medication in the morning if possible to avoid interference with sleep patterns.
Monitor serum potassium levels during therapy.
Teach patients to maintain proper nutritional and fluid volume status.
Teach patients to eat more potassium-rich foods when taking any but the potassium-sparing drugs.
Foods high in potassium include bananas, oranges, dates, apricots, raisins, broccoli, green beans, potatoes, meats, fish, and legumes.
Patients taking diuretics along with a digitalis preparation should be taught to monitor for digitalis toxicity.
Patients with diabetes mellitus who are taking thiazide or loop diuretics should be told to monitor blood glucose and watch for elevated levels.
Teach patients to change positions slowly and to rise slowly after sitting or lying to prevent dizziness and fainting related to orthostatic hypotension.
Encourage patients to keep a log of their daily weight.
Remind patients to return for follow-up visits and lab work.
Patients who have been ill with nausea, vomiting, or diarrhea should notify their primary care providers because fluid and electrolyte imbalances can result.
Signs and symptoms of hypokalemia include muscle weakness, constipation, irregular pulse rate, and overall feeling of lethargy.
Instruct patients to notify their primary care providers immediately if they experience rapid heart rates or syncope (reflects hypotension or fluid loss).
Excessive consumption of licorice can lead to additive hypokalemia in patients taking thiazides.
Monitor for adverse effects:
-Metabolic alkalosis, drowsiness, lethargy, hypokalemia, tachycardia, hypotension, leg cramps, restlessness, decreased mental alertness
Monitor for hyperkalemia with potassium-sparing diuretics.
Monitor for therapeutic effects:
-Reduction of edema
-Reduction of fluid volume overload
-Improvement in manifestations of HF
-Reduction of hypertension
-Return to normal intraocular pressures