Umbhali: Joan Hall
Umhla Wokudalwa: 28 Eyomdumba 2021
Hlaziya Umhla: 21 Eyenkanga 2024
Anonim
Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action
Ividiyo: Hydrochlorothiazide Nursing Considerations, Side Effects, and Mechanism of Action

Umxholo

I-Hydrochlorothiazide isetyenziswa yodwa okanye idityaniswe namanye amayeza ukunyanga uxinzelelo lwegazi. I-Hydrochlorothiazide isetyenziselwa ukunyanga i-edema (ukugcinwa kwamanzi), ulwelo oluninzi olugcinwe kwizicubu zomzimba) ezibangelwa ziingxaki ezahlukeneyo zonyango, kubandakanya intliziyo, izintso kunye nesifo sesibindi kunye nokunyanga i-edema ebangelwa kukusebenzisa amayeza athile kubandakanya i-estrogen kunye ne-corticosteroids. IHydrochlorothiazide ikudidi lwamayeza abizwa ngokuba zii-diuretics ('iipilisi zamanzi'). Isebenza ngokubangela ukuba izintso zikhuphe amanzi angafunekiyo kunye netyuwa emzimbeni ziye kumchamo.

Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo kwaye xa lunganyangwa, lunokubangela ukonakala kwengqondo, intliziyo, imithambo yegazi, izintso namanye amalungu omzimba. Ukonakala kula malungu kunokubangela isifo sentliziyo, isifo sentliziyo, ukusilela kwentliziyo, ukubetha, ukusilela kwezintso, ukungaboni kakuhle, kunye nezinye iingxaki. Ukongeza ekuthatheni amayeza, ukwenza utshintsho kwindlela yokuphila kuya kunceda ukulawula uxinzelelo lwegazi. Olu tshintsho lubandakanya ukutya ukutya okunamafutha amancinci kunye netyuwa, ukugcina ubunzima obunempilo, ukusebenzisa ubuncinci imizuzu engama-30 ubuninzi beentsuku, ukungatshayi, kunye nokusebenzisa utywala ngokumodareyitha.


I-Hydrochlorothiazide iza njengecwecwe, icapsule, kunye nesisombululo (ulwelo) ukuba sithathe ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Xa isetyenziselwa ukunyanga i-edema, i-hydrochlorothiazide inokuthathwa mihla le okanye ngeentsuku ezithile zeveki. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha ihydrochlorothiazide ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

IHydrochlorothiazide ilawula uxinzelelo lwegazi oluphezulu kodwa ayiyinyangi. Qhubeka nokuthatha i-hydrochlorothiazide nokuba uziva uphilile. Sukuyeka ukuthatha ihydrochlorothiazide ngaphandle kokuthetha nogqirha wakho.

I-Hydrochlorothiazide inokusetyenziselwa ukunyanga abaguli abanesifo seswekile i-insipidus kunye nokuthintela amatye kwizintso kwizigulana ezinamanqanaba aphezulu e-calcium egazini. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

Eli yeza ngamanye amaxesha limiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.


Ngaphambi kokuba uthathe i-hydrochlorothiazide,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana nehydrochlorothiazide, 'sulfa drug', penicillin, okanye naziphi na ezinye iziyobisi.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-barbiturates efana ne-phenobarbital kunye ne-secobarbital (Seconal); i-corticosteroids efana ne-betamethasone (i-Celestone), i-budesonide (i-Entocort), i-cortisone (i-Cortone), i-dexamethasone (i-Decadron, i-Dexpak, i-Dexasone, abanye), i-fludrocortisone (i-Florinef), i-hydrocortisone (i-Cortef, i-Hydrocortone), i-methylprednisolone (i-Medrol, i-Meprol prednisolone (Prelone, abanye), prednisone (Deltasone, Meticorten, Sterapred, abanye), kunye ne-triamcinolone (Aristocort, Azmacort); i-corticotropin (i-ACTH, i-HP, i-Acthar Gel); insulin kunye nomlomo amayeza seswekile; lithium (Eskalith, Lithobid); amayeza oxinzelelo lwegazi okanye iintlungu; nonsteroidal anti-inflammatory drugs (NSAIDs) ezifana ibuprofen (Advil, Motrin, abanye) kunye naproxen (Aleve, Naprosyn, abanye). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • ukuba uthatha icholestyramine okanye i-colestipol, thatha iyure e-1 ngaphambi okanye kwiiyure ezi-4 emva kokuthatha i-hydrochlorothiazide.
  • xelela ugqirha wakho ukuba unesifo sezintso. Ugqirha wakho unokukuxelela ukuba ungathathi i-hydrochlorothiazide.
  • xelela ugqirha wakho ukuba unesifo seswekile, i-asthma, i-gout, i-systemic lupus erythematosus (i-SLE, imeko engapheliyo yokuvuvukala), i-cholesterol ephezulu, okanye isifo sezintso okanye sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-hydrochlorothiazide, tsalela umnxeba kwangoko.
  • cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. I-Hydrochlorothiazide inokwenza ulusu lwakho lubuthathaka elangeni kunye nokwandisa umngcipheko weentlobo ezithile zomhlaza wolusu. Ugqirha wakho uya kujonga ulusu lwakho lomhlaza wolusu ngexesha lonyango lwakho ngehydrochlorothiazide. Biza ugqirha wakho ukuba ubona naluphi na utshintsho lolusu okanye ukukhula.
  • Kuya kufuneka uyazi ukuba i-hydrochlorothiazide inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-hydrochlorothiazide. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume. Utywala bunokongeza kwezi ziphumo bezingalindelekanga.

Ukuba ugqirha wakho ukumisela ukutya okunetyuwa encinci okanye ukutya okunesodiyam ephantsi, okanye ukutya okanye ukusela ukutya okune-potassium eninzi (umzekelo, iibhanana, iiprimon, iidiliya, kunye nejusi yeorenji) kwisidlo sakho, landela le miyalelo ngononophelo.


Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi yakho elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • ukuchama rhoqo
  • urhudo
  • Ukuphelelwa ngumdla wokutya
  • intloko ebuhlungu
  • ukulahleka kweenwele

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

  • umlomo owomileyo; unxano; isicaphucaphu; ukugabha; ubuthathaka, ukudinwa; ukozela; ukungazinzi; ukudideka; ubuthathaka bemisipha, iintlungu, okanye iicramps; ukubetha kwentliziyo okukhawulezayo kunye neminye imiqondiso yokuphelelwa ngamanzi emzimbeni kunye nokungalingani kwe-electrolyte
  • i-blisters okanye i-peeling skin
  • urhwebo
  • irhashalala
  • ukurhawuzelela
  • ubunzima bokuphefumla okanye ukugwinya
  • umkhuhlane, umqala obuhlungu, ukugodola kunye neminye imiqondiso yosulelo
  • ukopha okungaqhelekanga okanye ukugruzuka
  • iintlungu eziqhubekayo eziqala kwindawo yesisu, kodwa zinokusasazeka ngasemva
  • iintlungu ezidibeneyo okanye ukudumba
  • utshintsho kumbono, iintlungu zamehlo, okanye ukudumba okanye ukuba bomvu ngaphakathi okanye ngakujikeleze iliso

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli elingene ngaphakathi, livalwe ngokuqinileyo, kwaye lingenakufikelela ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Musa ukuvumela into engamanzi okanye yeepilisi njengeqanda.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo, kwaye uvavanyo lwegazi kufuneka lwenziwe ngamanye amaxesha.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha ihydrochlorothiazide.

Ungavumeli nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • U-Esidrix®
  • IHydrodiuril®
  • Imicrozide®
  • Oretic®
  • Indawo®
  • Apresazide® (iqulethe i-Hydralazine, Hydrochlorothiazide)
  • Ukuchaneka® (Iqulethe iquinapril, Hydrochlorothiazide)
  • IBenicar® I-HCT (iqulethe iOlmesartan, iHydrochlorothiazide)
  • UDiovan® I-HCT (iqulethe iValsartan, Hydrochlorothiazide)
  • Dutoprol® (Iqulethe iMetoprolol, iHydrochlorothiazide)
  • Yongeza® I-HCT (iqulethe i-Amlodipine, Hydrochlorothiazide, Valsartan)
  • IHydrap-ES® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • IHydro-Reserp® (iqulethe iHydrochlorothiazide, Reserpine)
  • IHydropres® (iqulethe iHydrochlorothiazide, Reserpine)
  • IHydroserp® (iqulethe iHydrochlorothiazide, Reserpine)
  • IHydroserpine® (iqulethe iHydrochlorothiazide, Reserpine)
  • IHydra-Zide® (iqulethe i-Hydralazine, Hydrochlorothiazide)
  • Ngaphantsi® (Iqulethe iHydrochlorothiazide, iPropranolol)
  • Ngaphantsi® LA (equlathe iHydrochlorothiazide, iPropranolol)
  • Lopressor® I-HCT (iqulethe iMetoprolol, iHydrochlorothiazide)
  • Imallopress® (iqulethe iHydrochlorothiazide, Reserpine)
  • IMarpres® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Monopril® I-HCT (iqulethe iFosinopril, iHydrochlorothiazide)
  • I-Normozide® (Iqulethe iLabetalol, iHydrochlorothiazide)
  • Iquinaretic® (Iqulethe iquinapril, Hydrochlorothiazide)
  • I-Ser-Ap-Es® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Serathide® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Iserpazidi® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Iserpex® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • ITekturna® I-HCT (iqulethe i-Aliskiren, Hydrochlorothiazide)
  • Iintsana® I-HCT (iqulethe i-Eprosartan, Hydrochlorothiazide)
  • Timolide® (Iqulethe iTimolol, iHydrochlorothiazide)
  • Ukunyanzelwa kweHCT® (iqulethe iLabetalol, iHydrochlorothiazide)
  • I-Tri-Hydroserpine® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Uvavanyo® (iqulethe i-Amlodipine, Hydrochlorothiazide, Olmesartan)
  • I-Uni Serp® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Iifayile® (iqulethe i-Hydralazine, Hydrochlorothiazide, Reserpine)
  • Ziac® (iqulethe iBisoprolol, Hydrochlorothiazide)

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-02/15/2021

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