Client Concerns with Hydrochlorothiazide

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Questions and Answers

What is the most concerning finding for a client on hydrochlorothiazide?

Increasing triglyceride levels
Rash on sun-exposed skin of the face and arms
Nausea, headache, and lethargy (correct)
Client has been urinating frequently at night

What condition can be caused by thiazide diuretics like hydrochlorothiazide?

Hyperkalemia
Hypocalcemia
Hypernatremia
Hyponatremia (correct)

Which symptoms may indicate potential hyponatremia in a client taking hydrochlorothiazide?

Increased appetite and weight gain
Dry mouth and muscle cramps
Nausea, headache, and lethargy (correct)
Frequent headaches and dizziness

What does hydrochlorothiazide primarily treat?

<p>Hypertension and edema (B)</p> Signup and view all the answers

Which other symptom might suggest an adverse reaction to hydrochlorothiazide?

<p>Rash on sun-exposed skin of the face and arms (B)</p> Signup and view all the answers

Flashcards

Hyponatremia

A common side effect of thiazide diuretics like hydrochlorothiazide, where the body loses too much sodium, causing a low sodium level in the blood.

How Thiazide Diuretics Work

Thiazide diuretics, such as hydrochlorothiazide, work by blocking the reabsorption of sodium and chloride in the kidneys, leading to increased urine production.

Symptoms of Hyponatremia

Nausea, headache, and lethargy can be symptoms of hyponatremia, a side effect of thiazide diuretics.

Complications of Untreated Hyponatremia

If left uncorrected, hyponatremia caused by thiazide diuretics can lead to more serious complications like confusion and seizures.

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Monitoring Hyponatremia In Elderly Clients

A 76-year-old female client taking hydrochlorothiazide is a high-risk individual for hyponatremia, requiring close monitoring for early detection.

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Study Notes

Client Concerns with Hydrochlorothiazide

Hyponatremia: Nausea, headache, and lethargy are symptoms of hyponatremia, a side effect of hydrochlorothiazide. This occurs when diuretics cause too much sodium loss in urine.
Severity of Hyponatremia: Hyponatremia symptoms are most concerning because untreated, severe hyponatremia can lead to confusion and seizures.
Mechanism of Action: Thiazide diuretics, like hydrochlorothiazide, block sodium and chloride reabsorption in the distal convoluted tubules, reducing fluid volume.
Other Options: Options like increasing triglyceride levels or rash are less serious than the electrolyte imbalance (hyponatremia) caused by hydrochlorothiazide.