Mlembi: Joan Hall
Tsiku La Chilengedwe: 28 Febuluwale 2021
Sinthani Tsiku: 21 Novembala 2024
Anonim
Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action
Kanema: Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action

Zamkati

Hydrochlorothiazide imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Hydrochlorothiazide imagwiritsidwa ntchito pochizira edema (kusungira madzimadzi; madzimadzi owonjezera omwe amakhala m'matumba amthupi) amayambitsidwa ndi zovuta zamankhwala, kuphatikizapo mtima, impso, ndi chiwindi komanso kuchiza edema yoyambitsidwa ndi mankhwala ena kuphatikiza estrogen ndi corticosteroids. Hydrochlorothiazide ali mgulu la mankhwala otchedwa diuretics ('mapiritsi amadzi'). Zimagwira ntchito ndikupangitsa impso kuchotsa madzi osafunikira ndi mchere kuchokera mthupi kupita mumkodzo.

Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.


Hydrochlorothiazide imabwera ngati piritsi, kapisozi, ndi yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Pogwiritsidwa ntchito pochizira edema, hydrochlorothiazide imatha kumwa tsiku lililonse kapena masiku ena okha sabata. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani hydrochlorothiazide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Hydrochlorothiazide imayendetsa kuthamanga kwa magazi koma siyichiritsa. Pitirizani kumwa hydrochlorothiazide ngakhale mukumva bwino. Osasiya kumwa hydrochlorothiazide osalankhula ndi dokotala.

Hydrochlorothiazide itha kugwiritsidwanso ntchito kuchiritsa odwala matenda ashuga insipidus komanso kupewa miyala ya impso mwa odwala calcium yambiri m'magazi awo. Lankhulani ndi dokotala wanu za zoopsa zomwe zingagwiritsidwe ntchito ndi mankhwalawa.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.


Musanamwe hydrochlorothiazide,

  • uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la hydrochlorothiazide, 'sulfa drug', penicillin, kapena mankhwala ena aliwonse.
  • auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: barbiturates monga phenobarbital ndi secobarbital (Seconal); corticosteroids monga betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, ena), fludrocortisone (Florinef), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol, Meprol, Meprol, Meprol) prednisolone (Prelone, ena), prednisone (Deltasone, Meticorten, Sterapred, ena), ndi triamcinolone (Aristocort, Azmacort); corticotropin (ACTH, HP, Acthar Gel); insulin ndi mankhwala akumwa ashuga; lifiyamu (Eskalith, Lithobid); mankhwala othamanga kapena kupweteka; mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga ibuprofen (Advil, Motrin, ena) ndi naproxen (Aleve, Naprosyn, ena). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • ngati mukumwa cholestyramine kapena colestipol, imwitseni ola limodzi musanatenge kapena maola 4 mutamwa hydrochlorothiazide.
  • uzani dokotala wanu ngati muli ndi matenda a impso. Dokotala wanu angakuuzeni kuti musatenge hydrochlorothiazide.
  • uzani dokotala wanu ngati mwakhalapo ndi matenda ashuga, mphumu, gout, systemic lupus erythematosus (SLE, matenda otupa), cholesterol, kapena impso kapena matenda a chiwindi.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga hydrochlorothiazide, itanani dokotala wanu mwachangu.
  • konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Hydrochlorothiazide imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa ndikuwonjezera chiopsezo chanu cha mitundu ina ya khansa yapakhungu. Dokotala wanu amayang'ana khungu lanu ngati ali ndi khansa yapakhungu mukamachiza ndi hydrochlorothiazide. Itanani dokotala wanu ngati muwona kusintha kwatsopano kapena khungu.
  • Muyenera kudziwa kuti hydrochlorothiazide imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa hydrochlorothiazide. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire. Mowa ungawonjezere ku zotsatirazi.

Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, kapena kudya kapena kumwa zakudya zowonjezera potaziyamu (mwachitsanzo, nthochi, prunes, zoumba, ndi madzi a lalanje) muzakudya zanu, tsatirani malangizowa mosamala.


Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kukodza pafupipafupi
  • kutsegula m'mimba
  • kusowa chilakolako
  • mutu
  • kutayika tsitsi

Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

  • pakamwa pouma; ludzu; nseru; kusanza; kufooka, kutopa; kusinza; kusakhazikika; chisokonezo; kufooka kwa minofu, kupweteka, kapena kukokana; kugunda kwamtima mwachangu ndi zisonyezo zina zakusowa kwa madzi m'thupi komanso kusalingana kwa ma elektroni
  • matuza kapena khungu losenda
  • ming'oma
  • zidzolo
  • kuyabwa
  • kuvuta kupuma kapena kumeza
  • malungo, zilonda zapakhosi, kuzizira, ndi zizindikiro zina za matenda
  • kutuluka mwachilendo kapena kuphwanya
  • kupweteka komwe kumayambira m'mimba, koma kumatha kufalikira kumbuyo
  • kupweteka pamodzi kapena kutupa
  • kusintha kwa masomphenya, kupweteka kwa diso, kapena kutupa kapena kufiyira mkati kapena mozungulira

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe munabwera, chatsekedwa mwamphamvu, komanso kuti ana asafikire. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Musalole kuti madzi kapena makapisozi azizire.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu amayenera kufufuzidwa pafupipafupi, komanso kuyesa magazi nthawi ndi nthawi.

Musanapite kukayezetsa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa hydrochlorothiazide.

Musalole kuti wina aliyense amwe mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

  • Esidrix®
  • Hydrodiuril®
  • Microzide®
  • Oretic®
  • Zide®
  • Kutsegula® (yokhala ndi Hydralazine, Hydrochlorothiazide)
  • Zowona® (yokhala ndi Quinapril, Hydrochlorothiazide)
  • Benicar® HCT (munali Olmesartan, Hydrochlorothiazide)
  • Diovan® HCT (yokhala ndi Valsartan, Hydrochlorothiazide)
  • Dutoprol® (okhala ndi Metoprolol, Hydrochlorothiazide)
  • Onjezani® HCT (yokhala ndi Amlodipine, Hydrochlorothiazide, Valsartan)
  • Hydrap-ES® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Hydro-Reserp® (yokhala ndi Hydrochlorothiazide, Reserpine)
  • Ma hydropres® (yokhala ndi Hydrochlorothiazide, Reserpine)
  • Hydroserp® (yokhala ndi Hydrochlorothiazide, Reserpine)
  • Hydroserpine® (yokhala ndi Hydrochlorothiazide, Reserpine)
  • Hydra-Zide® (yokhala ndi Hydralazine, Hydrochlorothiazide)
  • Kuchokera pansi® (yokhala ndi Hydrochlorothiazide, Propranolol)
  • Kuchokera pansi® LA (yokhala ndi Hydrochlorothiazide, Propranolol)
  • Lopressor® HCT (yokhala ndi Metoprolol, Hydrochlorothiazide)
  • Mallopress® (yokhala ndi Hydrochlorothiazide, Reserpine)
  • Marpres® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Monopril® HCT (yokhala ndi Fosinopril, Hydrochlorothiazide)
  • Normozide® (yokhala ndi Labetalol, Hydrochlorothiazide)
  • Quinaretic® (yokhala ndi Quinapril, Hydrochlorothiazide)
  • Ser-Ap-Es® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serathide® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serpazide® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Njoka® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Zamgululi® HCT (yokhala ndi Aliskiren, Hydrochlorothiazide)
  • Wophunzira® HCT (yokhala ndi Eprosartan, Hydrochlorothiazide)
  • Timolide® (yokhala ndi Timolol, Hydrochlorothiazide)
  • Zolemba HCT® (yokhala ndi Labetalol, Hydrochlorothiazide)
  • Tri-Hydroserpine® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Wophatikiza® (yokhala ndi Amlodipine, Hydrochlorothiazide, Olmesartan)
  • Uni Serp® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Zosintha® (yokhala ndi Hydralazine, Hydrochlorothiazide, Reserpine)
  • Ziac® (yokhala ndi Bisoprolol, Hydrochlorothiazide)

Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.

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