Sengoli: Joan Hall
Letsatsi La Creation: 28 Hlakubele 2021
Ntlafatsa Letsatsi: 25 December 2024
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Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action
Video: Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action

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Hydrochlorothiazide e sebelisoa e le mong kapa e kopane le meriana e meng ho alafa khatello e phahameng ea mali. Hydrochlorothiazide e sebelisetsoa ho phekola edema (ho boloka metsi, mokelikeli o feteletseng o tšoaretsoeng lisele tsa 'mele) o bakoang ke mathata a fapaneng a bongaka, ho kenyelletsa lefu la pelo, liphio le sebete le ho phekola edema e bakoang ke ho sebelisa meriana e meng ho kenyelletsa estrogen le corticosteroids Hydrochlorothiazide e sehlopheng sa meriana e bitsoang diuretics ('lipilisi tsa metsi'). E sebetsa ka ho etsa hore liphio li tlose metsi a sa hlokahaleng le letsoai le tsoang 'meleng ho ea morong.

Khatello ea mali e phahameng ke boemo bo tloaelehileng 'me ha e sa phekoloe, e ka baka tšenyo bokong, pelong, methapong ea mali, liphio le likarolong tse ling tsa' mele. Tšenyo ea litho tsena e ka baka lefu la pelo, lefu la pelo, ho hloleha ha pelo, stroke, ho hloleha ha liphio, ho se bone hantle le mathata a mang. Ntle le ho noa moriana, ho etsa liphetoho bophelong ho tla thusa ho laola khatello ea mali. Liphetoho tsena li kenyelletsa ho ja lijo tse se nang mafura le letsoai, ho boloka boima ba 'mele bo phetseng hantle, ho ikoetlisa bonyane metsotso e 30 ka matsatsi a mangata, ho se tsube le ho sebelisa joala ka tekano.


Hydrochlorothiazide e tla e le letlapa, capsule le tharollo (mokelikeli) ho e nka ka molomo. Hangata e nooa hanngoe kapa habeli ka letsatsi. Ha e sebelisoa ho phekola edema, hydrochlorothiazide e ka nkuoa letsatsi le letsatsi kapa feela ka matsatsi a itseng a beke. Latela litaelo tsa lengolo la hau la ngaka ka hloko, 'me u kope ngaka kapa setsebi sa metsoako ho u hlalosetsa karolo efe kapa efe eo u sa e utloisiseng. Nka hydrochlorothiazide hantle feela joalokaha e laetsoe. Se ke oa e noa hanyane kapa ua e noa khafetsa ho feta kamoo u laetsoeng ke ngaka ea hau.

Hydrochlorothiazide e laola khatello e phahameng ea mali empa ha e e phekole. Tsoela pele ho noa hydrochlorothiazide leha o ikutloa hantle. Se ke oa emisa ho noa hydrochlorothiazide ntle le ho bua le ngaka ea hau.

Hydrochlorothiazide e ka sebelisoa ho phekola bakuli ba nang le lefu la tsoekere insipidus le ho thibela majoe a liphio ho bakuli ba nang le calcium e phahameng maling a bona. Bua le ngaka ea hau ka likotsi tse ka bang teng tsa ho sebelisa moriana ona maemong a hau.

Moriana ona ka linako tse ling o laeloa ts'ebeliso e ngoe; botsa ngaka kapa setsebi sa metsoako bakeng sa tlhaiso-leseling e batsi.


Pele o nka hydrochlorothiazide,

  • bolella ngaka le rakhemisi haeba o na le alejiki ho hydrochlorothiazide, 'sulfa drug', penicillin, kapa lithethefatsi tse ling.
  • bolella ngaka ea hau le setsebi sa meriana hore na ke meriana efe e meng eo u e fuoang kapa eo u rerileng ho e nka. Etsa bonnete ba hore o bua ka tse latelang: li-barbiturate tse kang phenobarbital le secobarbital (Seconal); corticosteroids joalo ka betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, tse ling), fludrocortisone (Florinef), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol, Meprol, Meprol, Meprol) prednisolone (Prelone, tse ling), prednisone (Deltasone, Meticorten, Sterapred, tse ling), le triamcinolone (Aristocort, Azmacort); corticotropin (ACTH, HP, Acthar Gel); insulin le meriana ea molomo bakeng sa lefu la tsoekere; lithium (Eskalith, Lithobid); meriana ea khatello e phahameng ea mali kapa bohloko; lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID) joalo ka ibuprofen (Advil, Motrin, tse ling) le naproxen (Aleve, Naprosyn, tse ling). Ngaka ea hau e kanna ea hloka ho fetola litekanyetso tsa meriana ea hau kapa ho u beha leihlo ka hloko bakeng sa litla-morao.
  • haeba u nka cholestyramine kapa colestipol, e noe hora e le 1 pele kapa lihora tse 4 kamora ho nka hydrochlorothiazide.
  • bolella ngaka ea hau haeba u na le lefu la liphio. Ngaka ea hau e ka u joetsa hore u se ke oa nka hydrochlorothiazide.
  • bolella ngaka ea hau haeba u kile ua ba le lefu la tsoekere, asthma, gout, systemic lupus erythematosus (SLE, boemo bo sa foleng ba ho ruruha), k'holeseterole e phahameng, kapa lefu la liphio kapa la sebete.
  • bolella ngaka ea hau haeba u imme, rera ho ima, kapa ho anyesa. Haeba u ka ima ha u ntse u nka hydrochlorothiazide, letsetsa ngaka hang-hang.
  • rera ho qoba ho pepesehela khanya ea letsatsi ho sa hlokahale kapa nako e telele le ho apara liaparo tse sireletsang, likhalase tsa mahlo le setlolo se sireletsang letsatsi. Hydrochlorothiazide e ka etsa hore letlalo la hau le utloe khanya ea letsatsi le ho eketsa kotsi ea mefuta e itseng ea mofets'e oa letlalo. Ngaka ea hau e tla hlahloba letlalo bakeng sa mofetše oa letlalo nakong ea kalafo ea hau ka hydrochlorothiazide. Bitsa ngaka ea hau haeba u hlokomela liphetoho tse ncha tsa letlalo kapa kholo.
  • O lokela ho tseba hore hydrochlorothiazide e ka baka molikoalikoane, hlooho e bobebe, le ho akheha ha o tsoha kapele haholo o le maemong a leshano. Sena se atile haholo ha o qala ho nka hydrochlorothiazide. Ho qoba bothata bona, tsoha betheng butle, o phomotse maoto fatshe metsotso e mmalwa pele o ema. Joala bo ka eketsa litla-morao tsena.

Haeba ngaka eu fa lijo tse letsoai le tlase kapa tse nang le sodium e tlase, kapa ho ja kapa ho noa lijo tse nang le potasiamo tse ngata (mohlala, libanana, prune, morara o omisitsoeng le lero la lamunu) lijong tsa hau, latela litaelo tsena ka hloko.


Nka lethal dose ha u sa hopola. Leha ho le joalo, haeba e se e le nako ea tekanyetso ea hau e latelang, tlola lethal dose 'me u tsoelepele kemiso ea hau ea kamehla ea likhahla Se ke oa nka lethal dose tse peli ho etsetsa e hlolohetsoeng.

Bolella ngaka ea hau haeba a mang a matšoao ana a le matla kapa a sa fele:

  • ho ntša metsi khafetsa
  • letšollo
  • ho felloa ke takatso ya dijo
  • hlooho e opang
  • ho lahleheloa ke moriri

Haeba u e-na le matšoao a latelang, letsetsa ngaka hang-hang kapa u fumane phekolo ea meriana ea tšohanyetso:

  • molomo o omileng; lenyora; ho nyekeloa ke pelo; ho hlatsa; bofokoli, mokhathala; ho otsela; ho hloka botsitso; pherekano; bofokoli ba mesifa, bohloko, kapa mahlaba; ho otla ha pelo ka potlako le matšoao a mang a ho felloa ke metsi 'meleng le ho se leka-lekane ha electrolyte
  • marusu kapa letlalo le ebolang
  • hives
  • lekhopho
  • ho hlohlona
  • bothata ba ho hema kapa ho koenya
  • feberu, 'metso, ho bata, le matšoao a mang a tšoaetso
  • ho tsoa madi kapa kotlo e sa tloaelehang
  • bohloko bo tsoelang pele bo qalang ka mpeng, empa bo ka namela mokokotlong
  • bohloko ba manonyeletso kapa ho ruruha
  • liphetoho ponong, bohloko ba mahlo, kapa ho ruruha kapa bofubelu kahare kapa ho potoloha leihlo

Haeba o ba le litlamorao tse mpe, uena kapa ngaka ea hau le ka romella tlaleho ho Lenaneo la MedWatch Advers Event Reporting inthaneteng (http://www.fda.gov/Safety/MedWatch) inthaneteng kapa ka mohala ( 1-800-332-1088).

Boloka moriana ona ka setshelong seo o keneng ho sona, o koetsoe ka thata, 'me bana ba ke ke ba o fihlela. E boloke ka mocheso oa kamore le hole le mocheso o feteletseng le mongobo (eseng ka kamoreng ea ho hlapela). Se ke oa lumella mokelikeli kapa li-capsules ho hatsela.

Ho bohlokoa ho boloka litlhare tsohle li sa bonahale le moo bana ba ka fihlelloang lijana tse ngata (joalo ka likelello tsa lipilisi tsa beke le beke le tsa marotholi a mahlo, litlolo, lipache le li-inhalers) ha li thibele bana mme bana ba banyane ba ka li bula habonolo. Ho sireletsa bana ba banyenyane chefo, lula u notlela likepisi tsa polokeho 'me hang-hang beha meriana sebakeng se sireletsehileng - se holimo le hole le moo ba sa se boneng le ho se fihlela. http://www.upandaway.org

Meriana e sa hlokeheng e lokela ho lahloa ka litsela tse ikhethang ho netefatsa hore liphoofolo tse ruuoang lapeng, bana le batho ba bang ba ke ke ba li sebelisa. Leha ho le joalo, ha ua lokela ho tšela meriana ena ka ntloaneng. Sebakeng seo, tsela e molemohali ea ho lahla meriana ea hau ke ka lenaneo la ho khutlisa moriana. Bua le rakhemisi oa hau kapa ikopanye le lefapha la hau la litšila / la ho li sebelisa hape ho ithuta ka mananeo a khutlisetsang sechaba sa heno. Sheba webosaete ea FDA's Disposal of Medicines websaeteng (http://goo.gl/c4Rm4p) bakeng sa tlhaiso-leseling e batsi haeba u sena mokhoa oa ho khutlisa.

Haeba ho na le overdose, letsetsa mohala oa thuso oa taolo ea chefo ho 1-800-222-1222. Tlhahisoleseling e fumaneha inthaneteng ho https://www.poisonhelp.org/help. Haeba motho ea hlokofalitsoeng a oele, a tšoeroe ke sethoathoa, a na le bothata ba ho hema, kapa a sa khone ho tsosoa, hang-hang letsetsa litšebeletso tsa tšohanyetso ho 911.

Boloka linako tsohle le ngaka le laboratori. Khatello ea mali ea hau e lokela ho hlahlojoa khafetsa, 'me liteko tsa mali li lokela ho etsoa nako le nako.

Pele o etsa tlhahlobo ea laboratori, bolella ngaka le basebetsi hore o nka hydrochlorothiazide.

Se ke oa lumella mang kapa mang ho noa moriana oa hau. Botsa rakhemisi oa hau lipotso tseo u nang le tsona mabapi le ho tlatsa lengolo la ngaka.

Ho bohlokoa ho uena hore u boloke lethathamo le ngotsoeng la meriana eo u e nkang u sa e ngolla le eo u sa e ngolisetsang (morekisi) le lihlahisoa tse ling tse kang livithamini, liminerale, kapa litlatsetso tse ling tsa phepo. U lokela ho tla le lenane lena nako le nako ha u etela ngaka kapa ha u amoheloa sepetlele. Hape ke tlhaiso-leseling ea bohlokoa ho tsamaea le uena haeba ho ka hlaha maemo a tšohanyetso.

  • Esidrix®
  • Hydrodiuril®
  • Microzide®
  • Oretic®
  • Zide®
  • Apresazide® (e nang le Hydralazine, Hydrochlorothiazide)
  • E nepahetse® (e nang le Quinapril, Hydrochlorothiazide)
  • Benicar® HCT (e nang le Olmesartan, Hydrochlorothiazide)
  • Diovan® HCT (e nang le Valsartan, Hydrochlorothiazide)
  • Dutoprol® (e nang le Metoprolol, Hydrochlorothiazide)
  • Hlalosa® HCT (e nang le Amlodipine, Hydrochlorothiazide, Valsartan)
  • Hydrap-ES® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Hydro-Reserp® (e nang le Hydrochlorothiazide, Reserpine)
  • Li-hydropres® (e nang le Hydrochlorothiazide, Reserpine)
  • Hydroserp® (e nang le Hydrochlorothiazide, Reserpine)
  • Hydroserpine® (e nang le Hydrochlorothiazide, Reserpine)
  • Hydra-Zide® (e nang le Hydralazine, Hydrochlorothiazide)
  • Tlaase® (e nang le Hydrochlorothiazide, Propranolol)
  • Tlaase® LA (e nang le Hydrochlorothiazide, Propranolol)
  • Lopressor® HCT (e nang le Metoprolol, Hydrochlorothiazide)
  • Mallopress® (e nang le Hydrochlorothiazide, Reserpine)
  • Marpres® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Monopril® HCT (e nang le Fosinopril, Hydrochlorothiazide)
  • Tloaelo® (e nang le Labetalol, Hydrochlorothiazide)
  • Quinaretic® (e nang le Quinapril, Hydrochlorothiazide)
  • Ser-Ap-Es® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serathide® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serpazide® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serpex® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Tekturna® HCT (e nang le Aliskiren, Hydrochlorothiazide)
  • Mocha® HCT (e nang le Eprosartan, Hydrochlorothiazide)
  • Timolide® (e nang le Timolol, Hydrochlorothiazide)
  • HCT ea bohata® (e nang le Labetalol, Hydrochlorothiazide)
  • Tri-Hydroserpine® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Mohlomphehi® (e nang le Amlodipine, Hydrochlorothiazide, Olmesartan)
  • Serp e ikhethang® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Liphoso® (e nang le Hydralazine, Hydrochlorothiazide, Reserpine)
  • Tšoaea® (e nang le Bisoprolol, Hydrochlorothiazide)

Sehlahisoa sena se nang le lebitso ha se sa le 'marakeng. Mekhoa e meng ea tlhaho e kanna ea fumaneha.

E ntlafalitsoe la ho qetela - 02/15/2021

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