DRUG STUDY

Date Generic Brand Classificatio Indication Mechanism Dosage & Time Adverse Nursing
Name Name n of Action Frequency Given Reaction Consideration
10-11- metolazo Zaroxoly Therapeutic: Mild-to- Increases CNS: Monitor signs of fluid,
21 ne n antihypertensi moderate excretion drowsiness electrolyte, or acid-base
ves, diuretics hypertens of sodium , imbalances, including
ion. and water lethargy. dizziness, drowsiness,
Pharmacologi Edema by CV: chest blurred vision,
c: thiazide- associate inhibiting pain, confusion, hypotension,
like diuretics d with sodium hypotensio or muscle cramps and
CHF or reabsorpti n, weakness. Report
the on in the palpitatio excessive or prolonged
nephrotic distal ns. GI: symptoms to the
syndrome. tubule. anorexia, physician.
Promotes bloating,
excretion cramping, Assess dizziness and
of drug- weakness that might
chloride, induced affect gait, balance, and
potassium, hepatitis, other functional
magnesium, nausea, activities. Report
and vomiting. balance problems and
bicarbonat Derm: functional limitations to
e. May photosensi the physician, and
produce tivity, caution the patient and
arteriolar rashes. family/caregivers to
dilation. Endo: guard against falls and
Therapeuti hyperglyce trauma.
c Effects: mia. F and
Lowering E: Assess blood pressure
of blood hypokalemi periodically and
pressure a, compare to normal
in dehydratio values to help document
hypertensi n, antihypertensive effects.
ve hypercalce
patients. mia, Report low blood
Diuresis hypochlore pressure (hypotension)
with mic or other cardiac
subsequent alkalosis, symptoms such as chest
mobilizati hypomagnes pain or palpitations.
on of emia,
edema. hyponatrem When used to treat
Effect may ia, edema, help determine
continue hypophosph drug effects by
in renal atemia, assessing peripheral
impairment hypovolemi edema using girth
. a. Hemat: measurements, volume
blood displacement, and
dyscrasias measurement of pitting
. Metab: edema. Also monitor
hyperurice signs of pulmonary
mia. MS: edema such as dyspnea
muscle and rales/crackles.
cramps. Document whether
Misc: peripheral and
chills, pulmonary symptoms
pancreatit are controlled
is. adequately by diuretic
therapy.

Monitor signs of
hyperglycemia
(drowsiness, fruity
breath, increased
urination, unusual
thirst).
Patients with diabetes
mellitus should check
blood glucose levels
frequently.