Odee: Joan Hall
OfbọChị Okike: 28 Februari 2021
DatebọChị Mmelite: 21 Novemba 2024
Anonim
Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action
Vidio: Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action

Ndinaya

A na-eji Hydrochlorothiazide naanị ma ọ bụ yana ọgwụ ndị ọzọ iji gwọọ ọbara mgbali elu. A na-eji Hydrochlorothiazide na-agwọ edema (njigide mmiri; mmiri oke mmiri na-ejide na anụ ahụ) kpatara nsogbu ahụike dị iche iche, gụnyere obi, akụrụ, na ọrịa imeju yana ịgwọ edema kpatara site na iji ọgwụ ụfọdụ gụnyere estrogen na corticosteroids. Hydrochlorothiazide dị na klas nke ọgwụ a na-akpọ diuretics ('mkpụrụ ọgwụ mmiri'). Ọ na - arụ ọrụ site na ime ka akụrụ wee tufuo mmiri na - enweghị isi na nnu n’ime ahụ n’ime mmamịrị.

Ọbara mgbali elu bụ ọnọdụ a na-ahụkarị na mgbe a na-agwọghị ya, nwere ike imebi ụbụrụ, obi, akwara ọbara, akụrụ na akụkụ ahụ ndị ọzọ. Mmebi nke akụkụ ndị a nwere ike ibute ọrịa obi, nkụchi obi, nkụchi obi, ọrịa strok, ọdịda akụrụ, enweghịzi ọhụụ, na nsogbu ndị ọzọ. Na mgbakwunye na ị medicationụ ọgwụ, ịgbanwe mgbanwe ndụ gị ga-enye aka ịchịkwa ọbara mgbali gị. Mgbanwe ndị a gụnyere iri nri nke nwere abụba na nnu dị ala, na-enwe ahụ ike, na-emega ahụ ma ọ dịkarịa ala minit 30 ọtụtụ ụbọchị, ị notụ sịga, na ị alcoholụ mmanya na-aba n'anya.


Hydrochlorothiazide na-abịa dị ka mbadamba, ọgwụ, na ihe ngwọta (mmiri mmiri) iji were n'ọnụ. A na-ewerekarị ya otu ugboro ma ọ bụ ugboro abụọ n'ụbọchị. Mgbe ejiri ọgwụgwọ edema, hydrochlorothiazide nwere ike ị dailyụ kwa ụbọchị ma ọ bụ naanị ụbọchị ụfọdụ n'izu. Soro ntuziaka na akara aha ọgwụ gị nke ọma, jụọ dọkịta gị ma ọ bụ onye na-ere ọgwụ ka ọ kọwaa akụkụ ọ bụla ị na-aghọtaghị. Were hydrochlorothiazide dịka a gwara gị. Ejila ihe ma ọ bụ obere karịa ya ma ọ bụ were ya karịa oge dọkịta gị nyere iwu.

Hydrochlorothiazide na-achịkwa ọbara mgbali elu mana ọ naghị agwọ ya. Nọgide na-ewere hydrochlorothiazide ọbụlagodi na ọ dị gị mma. Akwụsịla ị hydroụ hydrochlorothiazide n'agwa dọkịta gị okwu.

A pụkwara iji Hydrochlorothiazide na-agwọ ndị ọrịa na-arịa ọrịa shuga insipidus na igbochi nkume akụrụ na ndị ọrịa nwere nnukwu calcium n'ime ọbara ha. Gwa dọkịta gị banyere ihe egwu dị na iji ọgwụ a maka ọnọdụ gị.

A na-enye ọgwụ a ọgwụ mgbe ụfọdụ maka ojiji ndị ọzọ; jụọ dọkịta gị ma ọ bụ onye na-ere ọgwụ maka ozi ndị ọzọ.


Tupu iwere hydrochlorothiazide,

  • gwa dọkịta gị na onye na-ere ọgwụ ma ọ bụrụ na ị na-arịa hydrochlorothiazide, ‘sulfa drugs’, penicillin, ma ọ bụ ọgwụ ọ bụla ọzọ.
  • gwa dọkịta gị na onye na-ere ọgwụ ọgwụ ọgwụ ọgwụ ndị ọzọ na ọgwụ ndị na-edeghị aha, vitamin, ihe mgbakwunye na-edozi ahụ, na ngwaahịa ahịhịa ị na-ewere ma ọ bụ na-ezube ị. Jide n'aka na ị kpọtụrụ ihe ọ bụla na-esonụ: barbiturates dị ka phenobarbital na secobarbital (Seconal); corticosteroids dị ka betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, ndị ọzọ), fludrocortisone (Florinef), hydrocortisone (Cortef, Hydrocortone), methylpn, methylpn prednisolone (Prelone, ndị ọzọ), prednisone (Deltasone, Meticorten, Sterapred, ndị ọzọ), na triamcinolone (Aristocort, Azmacort); corticotropin (ACTH, H.P., Acthar Gel); insulin na ọgwụ ọnụ maka ọrịa shuga; Lithium (Eskalith, Lithobid); ọgwụ maka ọbara mgbali elu ma ọ bụ ihe mgbu; nonsteroidal anti-inflammatory drugs (NSAIDs) dị ka ibuprofen (Advil, Motrin, ndị ọzọ) na naproxen (Aleve, Naprosyn, ndị ọzọ). Dọkịta gị nwere ike ịdị mkpa ịgbanwe usoro ọgwụ gị ma ọ bụ nyochaa gị nke ọma maka mmetụta ndị ọzọ.
  • ọ bụrụ na ị na-ewere cholestyramine ma ọ bụ colestipol, were ha 1 awa tupu ma ọ bụ 4 awa mgbe ị werechara hydrochlorothiazide.
  • gwa dọkịta gị ma ọ bụrụ na ị nwere ọrịa akụrụ. Dọkịta gị nwere ike ịgwa gị ka ị ghara ịnara hydrochlorothiazide.
  • gwa dọkịta gị ma ọ bụrụ na ị nwere ma ọ bụ nwee ọrịa shuga, ụkwara ume ọkụ, gout, systemic lupus erythematosus (SLE, ọnọdụ na-adịghị ala ala), cholesterol dị elu, ma ọ bụ akụrụ ma ọ bụ ọrịa imeju.
  • gwa dọkịta gị ma ọ bụrụ na ị dị ime, na-ezube ịtụrụ ime, ma ọ bụ na-enye nwa ara. Ọ bụrụ na ị dị ime mgbe ị na-ewere hydrochlorothiazide, kpọọ dọkịta gị ozugbo.
  • mee atụmatụ izere ìhè anyanwụ na-enweghị isi ma ọ bụ ogologo oge na iyi uwe mkpuchi, ugogbe anya maka anwụ, na mkpuchi anwụ. Hydrochlorothiazide nwere ike ime ka akpụkpọ gị nwee mmetụta nke ìhè anyanwụ ma mee ka ị nwekwuo ohere nke ụdị ọrịa kansa anụ ahụ. Dọkịta gị ga-enyocha akpụkpọ ahụ gị maka ọrịa anụ ahụ n'oge ọgwụgwọ gị na hydrochlorothiazide. Kpọọ dọkịta gị ma ọ bụrụ na ị hụ mgbanwe ọhụụ ma ọ bụ uto ọ bụla.
  • ị kwesịrị ịmara na hydrochlorothiazide nwere ike ibute dizziness, lightheadedness, na ịda mba mgbe ị na-ebili ngwa ngwa site na ịgha ụgha. Nke a bụ ihe a na-ahụkarị mgbe izizi ịmalitere hydrochlorothiazide. Iji zere nsogbu a, jiri nwayọ si n'àkwà gị bilie, gbado ụkwụ n'ụkwụ n'ala maka nkeji ole na ole tupu ị bilie ọtọ. Mmanya na-aba n'anya nwere ike ịgbakwunye mmetụta ndị a.

Ọ bụrụ na dọkịta gị edepụtara obere nnu ma ọ bụ obere sodium nri, ma ọ bụ rie ma ọ bụ drinkụọ ụba nri ndị nwere potassium (dịka, unere, prunes, mịrị, na mmanya oroma) na nri gị, soro ntuziaka ndị a nke ọma.


Were ọgwụ a funahụrụ gị ozugbo i chetara ya. Otú ọ dị, ọ bụrụ na ọ fọrọ nke nta ka ọ bụrụ oge maka usoro ọgwụgwọ gị ọzọ, mee ka ụbụrụ a na-atụghị anya ya wee nọgide na-eme usoro ihe omume gị. Ejila okpukpu abụọ mejupụta otu efu.

Gwa dọkịta gị ma ọ bụrụ na otu n’ime mgbaàmà ndị a adị njọ ma ọ bụ na ị gaghị apụ:

  • urination ugboro ugboro
  • afọ ọsịsa
  • enweghị agụụ
  • isi ọwụwa
  • ntutu isi

Ọ bụrụ na ị nwee otu n'ime mgbaàmà ndị a, kpọọ dọkịta gị ozugbo ma ọ bụ nweta ọgwụgwọ ahụike mberede:

  • ọnụ ọnụ; akpịrị ịkpọ nkụ; ọgbụgbọ; agbọ agbọ; adịghị ike, ike ọgwụgwụ; ụra; erughị ala; mgbagwoju anya; adịghị ike akwara, ihe mgbu, ma ọ bụ nkwụsị; otiti obi otiti na ihe ndi ozo nke akpiri akpiri aru na elegh i electrolyte anya
  • blisters ma ọ bụ ekpepụsị akpụkpọ
  • hives
  • ọkụ ọkụ
  • ọkọ
  • nsogbu iku ume ma ọ bụ ilo
  • ahụ ọkụ, akpịrị akpịrị, akpata oyi, na ihe ịrịba ama ndị ọzọ nke ibute ọrịa
  • ọbara ọgbụgba ma ọ bụ ọnya na-adịghị ahụkebe
  • ihe mgbu na-aga n'ihu nke na-amalite na mpaghara afọ, mana ọ nwere ike gbasaa na azụ
  • nkwonkwo mgbu ma ọ bụ ọzịza
  • mgbanwe n'ọhụụ, anya mgbu, ma ọ bụ ọzịza ma ọ bụ ịcha ọbara ọbara n'ime ma ọ bụ gburugburu anya

Ọ bụrụ na ịnweta mmetụta dị egwu, gị ma ọ bụ dọkịta gị nwere ike izipu akụkọ na mmemme nchịkwa nri ọgwụ na nri (FDA) na ntanetị (http://www.fda.gov/Safety/MedWatch) ma ọ bụ site na ekwentị ( 1-800-332-1088).

Debe ọgwụ a n'ime akpa ọ batara, mechie ya nke ọma, ka ụmụaka ghara iru ya. Chekwaa ya na ime ụlọ ma pụọ ​​na oke okpomọkụ na mmiri (ọ bụghị n'ime ime ụlọ ịwụ). Ekwela ka mmiri mmiri ma ọ bụ capsules kpoo.

Ọ dị mkpa idobe ọgwụ niile ka anya na iru ụmụaka dị ka ọtụtụ arịa (dịka ndị na-atụ ọgwụ ọgwụ kwa izu na ndị maka anya mmiri, ude, ihe nkedo, na ndị na-ekpo ọkụ) anaghị egbochi ụmụaka ma ụmụaka nwere ike imeghe ha ngwa ngwa. Iji kpuchido umuaka site na nsi, kpochie okpu nchebe oge niile ma tinye ogwu ahu ozugbo na ebe di nma - nke di elu ma puo na anya ha ma rute. http://www.upandaway.org

Ekwesịrị itinye ọgwụ ndị na-achọghị usoro n'ụzọ pụrụ iche iji hụ na anụ ụlọ, ụmụaka, na ndị ọzọ enweghị ike iri ha. Agbanyeghị, ịkwesighi iwepụ ọgwụ a n'ụlọ mposi. Kama nke ahụ, ụzọ kachasị mma iji tufuo ọgwụ gị bụ site na mmemme nloghachi ọgwụ. Gwa onye dibia ogwu gi ma obu kpoturu ndi nkpuru ahihia / ebe ana akpo ahihia ka imuta ihe omumu na obodo gi. Hụ FDA na ebe nchekwa mkpofu nke ọgwụ na weebụsaịtị (http://goo.gl/c4Rm4p) maka ozi ndị ọzọ ma ọ bụrụ na ịnweghị ohere ịnweta usoro mmeghachi omume.

N'ihe banyere nnyefere, kpọọ akara enyemaka nsị na 1-800-222-1222. Ozi dịkwa na ntanetị na https://www.poisonhelp.org/help. Ọ bụrụ na onye ahụ dakwasịrị daa, nwee njide, nwee nsogbu iku ume, ma ọ bụ enweghị ike ịkpọte, kpọọ ndị ọrụ mberede na 911.

Debe ndokwa niile gị na dọkịta gị na ụlọ nyocha. Ekwesiri ilebara obara obara gi anya, na aghaghi ime nyocha obara oge ufodu.

Tupu ị nwee ule nyocha ọ bụla, gwa dọkịta gị na ndị ọrụ nyocha ụlọ nyocha na ị na-ewere hydrochlorothiazide.

Ekwela ka onye ọ bụla ọzọ takeụọ ọgwụ gị. Jụọ onye na-ere ọgwụ gị ajụjụ ọ bụla ị nwere maka imeju ndenye ọgwụ gị.

Ọ dị mkpa ka ị debe ndepụta ederede niile ọgwụ na ọgwụ na-edeghị ọgwụ ị na-a ,ụ, yana ngwaahịa ọ bụla dịka vitamin, mineral, ma ọ bụ ihe mgbakwunye nri ndị ọzọ. Ga-ewere listi a mgbe ọ bụla ị gara ileta dọkịnta maọbụ ọ bụrụ na ị nabatara ụlọ ọgwụ. Ọ dịkwa mkpa ozi ị ga-ebu buru ihe mberede.

  • Esidrix®
  • Hydrodiuril®
  • Microzide®
  • Ogba®
  • Zide®
  • Apresazide® (nke nwere Hydralazine, Hydrochlorothiazide)
  • Ezigbo® (nke nwere Quinapril, Hydrochlorothiazide)
  • Benicar® HCT (nke nwere Olmesartan, Hydrochlorothiazide)
  • Diovan® HCT (nke nwere Valsartan, Hydrochlorothiazide)
  • Dutoprol® (nke nwere Metoprolol, Hydrochlorothiazide)
  • Kwupụ® HCT (nke nwere Amlodipine, Hydrochlorothiazide, Valsartan)
  • Hydrap-ES® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Mmiri-Reserp® (nke nwere Hydrochlorothiazide, Reserpine)
  • Mmiri® (nke nwere Hydrochlorothiazide, Reserpine)
  • Hydroserp® (nke nwere Hydrochlorothiazide, Reserpine)
  • Hydroserpine® (nke nwere Hydrochlorothiazide, Reserpine)
  • Hydra-Zide® (nke nwere Hydralazine, Hydrochlorothiazide)
  • Bido® (nke nwere Hydrochlorothiazide, Propranolol)
  • Bido® LA (nke nwere Hydrochlorothiazide, Propranolol)
  • Igwe mkpesa® HCT (nke nwere Metoprolol, Hydrochlorothiazide)
  • Ulo olu® (nke nwere Hydrochlorothiazide, Reserpine)
  • Oghere® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Monopril® HCT (nke nwere Fosinopril, Hydrochlorothiazide)
  • Normozide® (nke nwere Labetalol, Hydrochlorothiazide)
  • Quinaretic® (nke nwere Quinapril, Hydrochlorothiazide)
  • Ser-Ap-Es® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serathide® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serpazide® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serpex® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Tekturna® HCT (nke nwere Aliskiren, Hydrochlorothiazide)
  • N'ụlọ® HCT (nke nwere Eprosartan, Hydrochlorothiazide)
  • Timolide® (nke nwere Timolol, Hydrochlorothiazide)
  • Trandate HCT® (nke nwere Labetalol, Hydrochlorothiazide)
  • Tri-Hydroserpine® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Tribenzor® (nke nwere Amlodipine, Hydrochlorothiazide, Olmesartan)
  • Uni Serp® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Unipres® (nke nwere Hydralazine, Hydrochlorothiazide, Reserpine)
  • Ziac® (nke nwere Bisoprolol, Hydrochlorothiazide)

Ngwaahịa akpọrọ a anaghịzi adị n’ahịa. Enwere ike ịnweta ụzọ ọzọ.

Ikpeazụ enyocha - 02/15/2021

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