Review the scenario below and answer the following questions in at least 10 sentences, single paragraph form. Use no more than 15 sentences for this post. Be sure to include 2 APA in-text and post reference citations from Hitner, H., Nagle, B. T., Kaufman, M. B., Ariel, H., & Peimani-Lalehzarzadeh,Y. (2022). Pharmacology: An introduction (8th ed.). McGraw-Hill. ISBN-13: 9781260021820 I have included my McGraw-Hill login info to access the ebook.as well.
Scenario: G.G, a 72-year-old African-American woman, has heart failure (HF) and diabetes. Her vital signs are blood pressure 176/94; pulse 92; respirations 30. Her medications includes hydrochlorothiazide, metoprolol, and digoxin.
1) Why was hydrochlorothiazide prescribed for G.G? Explain the effects of hydrochlorothiazide on blood pressure and why the blood glucose needs to be monitored. (USLO 6.2, 6.3, 5.6, 5.8)
2) Abnormal electrolytes and other laboratory test results may occur when taking hydrochlorothiazide. Explain the imbalance. Would the following serum electrolyte and laboratory values be expected to increase, decrease, or remain unchanged? (USLO 6.3, 6.6, 6.8)
Sodium
Potassium
Glucose
3) G.G’s current medications are reviewed. What concerns do you identify and why? Explain your answer. (USLO 6.3, 6.6, 6.8)
4) When abruptly discontinuing beta blockers for hypertension without the client taking another antihypertensive, what might occur? Explain how adverse effects can be avoided.
