University of San Agustin

General Luna St., 5000 Iloilo City, Philippines

www.usa.edu.ph

COLLEGE OF HEALTH AND ALLIED MEDICAL PROFESSIONS - DEPARTMENT OF NURSING

Name: Red Angela O. Dinson Course & Section: BSN 1- B

Module 4: Drugs affecting Cardiovascular System

Activity No. 2 DIURETICS

Instructions: Read and analyze the scenario. Write your answers on the box provided
below.

Case Scenario:

JQ, a 58-year-old patient, has been recently diagnosed with hypertension. His
resting blood pressure is 158/92. He is prescribed hydrochlorothiazide 50 mg/day and
told to eat foods rich in potassium.

After 1 month on hydrochlorothiazide therapy, JQbecomes weak and complains

of nausea and vomiting. His muscles are “soft.” His serum potassium level is 3.3 mEq/L.

Questions:

1. Why is it necessary for JQ to eat foods rich in potassium when taking

hydrochlorothiazide? Explain your answer.

Hydrochlorothiazide is a thiazide diuretic that causes potassium depletion, which lower

potassium levels in the blood. They assist the body excrete salt and water through the
urine, which lowers blood pressure. Some diuretics, however, might cause the body to
excrete more potassium in the urine, which might lead to hypokalemia; thus, JQ should
increase his potassium intake to maintain his potassium level.

2. Should JQ receive a potassium supplement? Explain your answer.

Yes, JQ should take a potassium supplement to keep his potassium level stable since,
based on his blood potassium level, he has a minor case of hypokalemia. He may get
his potassium through supplements or foods such banana, potatoes, milk, soy beans,
and tomatoes. Oral supplements are the safest and most convenient way to keep
potassium levels stable.

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