Drug Study: Saluron

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DRUG STUDY

Date Generic Brand Classificatio Indication Mechanism Dosage & Time Adverse Nursing
Name Name n of Action Frequency Given Reaction Consideration
10-11- Hydroflu Saluron Therapeutic: Used as Hydroflumet 50 mg Gastrointesti All patients receiving
21 methiazid diuretics adjunctive hiazide is a daily nal system thiazide therapy should
e therapy in thiazide reactions: be observed for clinical
Pharmacologi edema diuretic that anorexia, signs of fluid or
c: loop associated inhibits gastric electrolyte imbalance,
diuretics with water irritation, namely, hyponatremia.
congestive reabsorption nausea, hypochloremic
heart in the vomiting, alkalosis, and
failure, nephron by cramping, hypokalemia. Serum
hepatic inhibiting the diarrhea, and urine electrolyte
cirrhosis, sodium- constipation, determinations are
and chloride jaundice particularly important
corticoster symporter (intrahepatic when the patient is
oid and (SLC12A3) cholestatic vomiting excessively or
estrogen in the distal jaundice), receiving parenteral
therapy. convoluted pancreatitis. fluids. Medication such
Also used tubule, as digitalis may also
in the which is Central influence serum
manageme responsible nervous electrolytes. Warning
nt of for 5% of system signs, irrespective of
hypertensi total sodium reactions: cause, are: dryness of
on either reabsorption. dizziness, mouth, thirst, weakness,
as the sole Normally, vertigo, lethargy, drowsiness,
therapeutic the sodium- parathesias, restlessness, muscle
agent or to chloride headache, pains or cramps,
enhance symporter xanthopsia. muscular fatigue,
the effect transports hypotension, oliguria,
of other sodium and Hematologic tachycardia, and
antihypert chloride reactions: gastrointestinal
ensive from the leukopenia, disturbances such as
drugs in lumen into nausea and vomiting.
the more the epithelial agranulocyto
severe cell lining sis, Hypokalemia may
forms of the distal thrombocyto develop with thiazides
hypertensi convoluted penia, as with any other potent
on. tubule. The aplastic diuretic, especially with
energy for anemia. brisk diuresis. when
this is severe cirrhosis is
provided by Dermatologi present, or during
a sodium c- concomitant use of
gradient Hypersensiti corticosteroids,
established vity including ACTH.
by sodium- reactions:
potassium purpura, Interference with
ATPases on photosensiti adequate oral
the vity, rash, electrolyte intake will
basolateral urticaria, also contribute to
membrane. necrotizing hypokalemia. Digitalis
Once sodium angiitis therapy may exaggerate
has entered (vasculitis) the metabolic effects of
the cell, it is (cutaneous hypokalemia, especially
transported vasculitis). with respect to
out into the myocardial activity.
basolateral Cardiovascul
interstitium ar reaction: Any chloride deficit is
via the orthostatic generally mild and
sodium- hypotension usually does not require
potassium may occur specific treatment,
ATPase, and may be except under
causing an aggravated extraordinary
increase in by alcohol, circumstances (as in
the barbiturates, liver disease or renal
osmolarity of or narcotics. disease). Dilutional
the
interstitium, Other: hyponatremia may
thereby hyperglycem occur in edematous
establishing ia, patients in hot weather.
an osmotic glycosuria, Appropriate therapy is
gradient for hyperuricem water restriction, rather
water ia, muscle than administration of
reabsorption. spasm, salt, except in rare
By blocking weakness, instances when the
the sodium- restlessness. hyponatremia is life-
chloride threatening. In actual
symporter, salt depletion,
Hydroflumet appropriate replacement
hiazide is the therapy of choice.
effectively
reduces the Hyperuricemia may
osmotic occur or frank gout may
gradient and be precipitated in
water certain patients
reabsorption receiving thiazide
throughout therapy.
the nephron.
Insulin requirements in
diabetic patients may be
increased, decreased, or
unchanged. Latent
diabetes mellitus may
become manifested
during thiazide
administration.

Thiazide drugs may


increase the
responsiveness to
tubocurarine.

The antihypertensive
effects of the drug may
be enhanced in the
postsympathectomy
patient.

Thiazides may decrease


arterial responsiveness
to norepinephrine. This
diminution is not
sufficient to preclude
effectiveness of the
pressor agent for
therapeutic use.

If progressive renal
impairment becomes
evident, as indicated by
rising nonprotein
nitrogen or blood urea
nitrogen, a careful
reappraisal of therapy is
necessary with
consideration given to
withholding or
discontinuing diuretic
therapy.

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