Assessment
Observe for signs of hypokalemia (muscle weakness, malaise, fatigue, ECG changes, vomiting)
» Assess for allergy to sulfonamides
Intraocular Pressure Assess for eye discomfort or decrease in visual acuity
Seizures Monitor neurologic status in patients receiving acetazolamide for seizures. Initiate seizure precautions
Altitude Sickness Monitor for decrease in severity of symptoms (headache, nausea, vomiting, fatigue, dizziness, drowsiness, shortness of breath). Notify health care professional immediately if neurologic symptoms worsen or if patient becomes more dyspneic and rales or crackles develop
Lab Test Considerations Serum electrolytes, complete blood counts, and platelet counts should be evaluated initially and periodically throughout prolonged therapy. May cause
potassium, bicarbonate, WBCs, and RBCs. May cause
serum chloride
» May cause
in serum and urine glucose; monitor serum and urine glucose carefully in diabetic patients
» May cause false-positive results for urine protein and 17-hydroxysteroid tests
» May cause
blood ammonia, bilirubin, uric acid, urine urobilinogen, and calcium. May
urine citrate
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