Documentation of the investigation with commentary that includes reflections and

Scenario 1 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. 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) 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 G.G’s current medications are reviewed. What concerns do you identify and why? Explain your answer. (USLO 6.3, 6.6, 6.8) When abruptly discontinuing beta blockers for hypertension without the client taking another antihypertensive, what might occur? Explain how adverse effects can be avoided. (USLO 6.3, 6.6, 6.8)

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