NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Name Classification Dose Route Time/frequency

Name Zaroxolyn Thiazide like 5 mg PO Q am
Metolazone diuretics
Peak Onset Duration Normal dosage range
2 hours 1 hour 12-24 hours 5-20 mg/day

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Edema caused by chf N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
Increases the excretion of sodium and water by inhibiting sodium
reabsorption in the distal tubule. Promotes excretion of chloride,
potassium, magnesium, and bicarbonate May produce arteriolar
dilation. Indicated for mild to moderate hypertension or edema
associated with CHF or nephrotic syndrome.
Contraindications/warnings/interactions
Hypersensitivity. Cross sensitivity with other sulfonamides may exist.
Anuria. Use cautiously in severe hepatic imparement.
Common side effects
Hypokalemia, hyperuricemia

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically)
Increased risk of hypotention with ingestion of alcohol.
Nursing Process- Assessment
(Pre-administration assessment)
Monitor BP, I&O, daily weight, and assiss feet, legs,
and sacral area for edema. Assess pt for anorecia,
nausea, vomiting, or muscle cramps.
Lab value alterations caused by medicine
Monitor electrolytes, especially potassium, blood glucose, BUN, and
serum creatinine and uric acid levels before and periodically during
therapy. May cause an increased in serum and urine glucose in diabetic
patients, increase in serum bilirubin, calcium, creatinine, uric acid, serum
cholesterol, ldl’s and triglyceride concentrations. May cause a decrease in
serum magnesium, potassium, and sodium and urinary calcium
concentrations. May also cause a decrease in serum protein bound iodine
concentrations.
Be sure to teach the patient the following about this
medication
Take at the same time each day. Monitor weight biweekly. Change
position slowly, protect from photosensitivity reactions. Discuss dietary
potassium requirements. Report muscle weakness, cramps, n/v/d.
Emphasize the importance of routine follow up exams. Advise patient to
consult health care professional before taking OTC meds, especially
cough or cold preparations, concurrently with this therapy.
Assessment Evaluation
Why would you hold or not give this Check after giving
med? BP, I&O, assess for decreasing
If pt reports nausea vomiting or edema
muscle cramps, notify physician