Medical Administration and Hipaa

Topics: Hypokalemia, Diuretic, Hypertension Pages: 3 (283 words) Published: August 11, 2013
Case Study 1

A patient who has a history of diabetes, heart disease and hypertension comes to the clinic complaining of swollen ankles, shortness of breath and nausea. She has been prescribed hydrochlorothiazide. You will need to answer these questions with your information about urinary system drugs.

Hydrochlorothiazide causes increased excretion of all of the following except

Sodium
Glucose
Chloride
Potassium

Side effects of the thiazides can include all of the following EXCEPT

Muscle Spasms
Low blood glucose
Fatigue
Nausea

What advice should be given if he is prescribed furosemide

Limit sun exposure
Urine may be orange
Watch for skin color changes
Eat citrus

Because of the edema, he will probably be put on a more potent loop diuretic, such as:

Aldactone
Lasix
Osmitrol
Dyazide

Patients like Mr. Chan taking loop diuretics should be given all of the following advice EXCEPT

Avoid sunlight
Check blood glucose
Avoid alcohol
Take medicine at bedtime

Case Study 2

A patient who has been taking cathartics for years is finding the drug ineffective. This patient walks into your clinic and is asking more so that she can take it daily. She will ask you questions that you may be required to explain. The net set of questions will prepare you for her visit.

The only laxative that should be taken daily is
Milk of Magnesia
Dulcolax
Senokot
Metamucil

Stimulant laxatives can cause all of the following EXCEPT

Cramping
Dependence
Reduced peristalsis
Electrolyte imbalance

The following is true of mineral oil EXCEPT

Can cause anal irritation
Used with stool softener
Contraindicated with dysphagia
Can cause vitamin deficiency

Patient education includes all of the following EXCEPT

Milk of Magnesia
Stool softeners used short term
High-fiber diet
Increase fluids
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