Case Scenario: GG, a 72-year-old African-American patient, has heart failure and diabetes. Her vital signs are...

Case Scenario:

GG, a 72-year-old African-American patient, has heart failure and diabetes. Her vital signs are blood pressure 176/94, pulse 92, and respirations 30. Her medications include hydrochlorothiazide 50 mg/day, atenolol 50 mg/ day, and digoxin 0.25 mg/day.

Questions:

Why was hydrochlorothiazide prescribed for GG? Explain the effects of hydrochlorothiazide on blood pressure?
List your Nursing Responsibilities and their rationale for GG while taking her prescribed medications.

Expert Solution

Hydrochlorothiazide is a thiazide diuretic which acts decreases the sodium reabsorption and hence decreasing the fluid reabsorption back into body and causing diuretics.

It was prescribed for GG as his blood pressure levels are high. Hydrochlorothiazide helps in reducing the blood pressure by removing fluid from the body.

Nursing responsibilities while taking medications prescribed for GG :

Monitor blood pressure levels before starting hydrochlorothiazide , digoxin, atenolol .
Monitor serum potassium levels as low levels of potassium increases the risk of digoxin toxicity.
Monitor intake and output chart which gives an idea if the dose of hydrochlorothiazide is enough or need to be altered.
Check for degree of edema as this measures the effectiveness of therapy.
Since , GG is known diabetic monitor blood glucose levels as hydrochlorothiazide increases blood sugar levels.
Cardiac monitoring should be done in patients receiving digoxin therapy as digoxin may cause alteration in rate and rhythm of the heart.

Thank you.

Nightingale answered 2 years ago

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