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Remember Hydrochlorothiazide, one of the most commonly used thiazide diuretics, by the hydrant-chlorine-Tarzan. This drug works by inhibiting reabsorption of sodium chloride and water in the early segment of the distal convoluted tubule, shown by Tarzan swinging on the inhibiting-chains, which are pulling the salt-shaker and water-bottle from the sponge. This drug is used to treat edema, shown by the edamame, and mild to moderate hypertension, the mild to moderate hiker-BP. Be sure to educate the patient on possible side effects such as hypokalemia, shown by the hippo-banana, hyponatremia, the hippo-salt-shaker, and dehydration, the empty-canteen. Because thiazide medications can elevate plasma glucose, it is also possible to experience hyperglycemia, shown by the hiker-glue-bottle, as well as gout, shown by the goat, due to various elevations of compounds in the blood. Contraindications for this medication include a sulfa allergy, the sulfur-match allergy-alligator, and those who are pregnant or breastfeeding, shown by the pregnant and breast-feeding alligator.&nbsp;So in summary, hydrochlorothiazide works by inhibiting reabsorption of sodium chloride and water and is used for the treatment of edema or mild to moderate hypertension. Side effects may include hypokalemia, hyponatremia, dehydration, hyperglycemia, and gout. Do not give to patients with a sulfa allergy and those who are pregnant or breastfeeding.&nbsp;

educational

story

hydrant chlorine tarzan.png

hydrochlorothiazide hctz.png

outline.png

pool.png

shadow.png

Hydrant-chlorine-Tarzan

Hydrochlorothiazide HCTZ

Loop Diuretics

Hydrochlorothiazide (Hydrodiuril)

Mechanism of Action

inhibiting chains pulling salt shaker and water bottle from sponge.png

mech.png

Inhibiting-chains pulling Salt-shaker and Water-bottle from Sponge

Inhibits Reabsorption NaCl and H2O

What mechanism of action or pharmacological action is best associated with hydrochlorothiazide?

Indications

edamame.png

ind.png

Edamame

Edema

Hydrochlorothiazide (HCTZ) is most likely indicated for which of the following?

mild to moderate hiker bp.png

Mild to Moderate Hiker-BP

Mild to Moderate Hypertension

Side Effects

hippo banana.png

fx.png

Hippo-banana

Hypokalemia

During your assessment of a patient taking hydrochlorthiazide which of the following side effects is most likely to be seen?

hippo salt shaker.png

Hippo-salt-shaker

Hyponatremia

empty canteen.png

Empty-canteen

Dehydration

Which of the following is most likely a side effect of HCTZ?

hiker glue bottle.png

Hiker-glue-bottle

Hyperglycemia

goat.png

Gout-goat

Gout

Contraindications

sulfur match allergy alligator.png

caution tape.png

Sulfur-match Allergy-alligator

Sulfa Allergy

Which of the following is the most likely contraindication for hydrochlorothiazide?

pregnant and breast feeding.png

Pregnant and Breast-feeding

Pregnancy and Breastfeeding

Hydrochlorothiazide should be used with caution in which of the following?

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First Aid for the USMLE Step 1 2017

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Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Lilley, Rainforth Collins & Snyder, Pharmacology and the Nursing Process, 8th Ed.

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

PANCE Prep Pearls: 1st Ed, 2014

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Pharmacology and the Nursing Process 7e, Lilley, Rainforth Collins, Snyder, 2014

Pharmacology and the Nursing Process 8e, Lilley, Rainforth Collins, Snyder, 2017

Potter, Perry, Stockert & Hall, 2017, Fundamentals of Nursing, 9th Ed.

STEP-UP to USMLE Step 2 CK, 4th Ed

We updated an explanation to clarify that HCTZ is a category B risk and is not an absolute contraindication to use.

This Picmonic was reviewed for academic accuracy and the quiz was improved.

Hydrochlorothiazide can be pictured as a hydrant with a chlorine-dispenser, and tarzan is swinging to open it's valve and fill a pool with chlorinated water. &nbsp;Remember hydrant-chlorine-Tarzan as swinging on a chain, and the other end it attached to a salt-shaker and is pulling it away from an absorbing sponge, and the salt-shaker is dragging a water-bottle along with it, because HCTZ inhibits the reabsorption of Sodium Chloride and Water. &nbsp;The hydrant is sucking water away from the local area to fill a pool, where the neighborhood edamame are doing cannonballs, and splashing a hiker-BP, who's bobbing around on his inflated blood pressure cuff, as the pool is filled to between mild and moderate levels. &nbsp;There are many side effects from the hydrant sucking away the neighborhood's water though. &nbsp;The nearby river goes dry, and a hippo-banana fights with a hippo-salt-shaker over the last drop of water from an empty-canteen. &nbsp;A naturalist hiker-glue-bottle tries to do something about the dry river bed by filling it with his own glue, with a little assistance from his pet goat. &nbsp;The other neighbors that everyone is cautionary around are the alligators. &nbsp;The dad lights his bbq with a &nbsp;sulfur-match, inviting everyone over, like they're the main dish, while his pregnant alligator breast-feeds their little one beside him.

"This medication may lead to low potassium, sodium, and calcium levels in my body."

"I will restrict fluid intake to 3000mL per day."

"Now that I am taking this medication, I will not have to monitor vital signs regularly."

"I will notify my doctor if I wish to become pregnant."

"This medication may lead to low potassium and sodium levels in my body."

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 07/2021/16

Picmonic NCLEX Question of the Day 07/16/2021

Picmonic NCLEX® Question of the Day

A 40-year-old, female, hypertensive patient is prescribed hydrochlorothiazide. The nurse is providing her with medication education. Which statement(s) made by the patient indicates successful teaching? Select all that apply.

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