Patient/Family Teaching

• Instruct patient to take metolazone at the same time each day. Take missed doses as soon as remembered but not just before next dose is due. Do not double doses

» Instruct patient to monitor weight biweekly and notify health care professional of significant changes

» Caution patient to change positions slowly to minimize orthostatic hypotension; may be potentiated by alcohol

» Advise patient to use sunscreen and protective clothing in the sun to prevent photosensitivity reactions

» Instruct patient to discuss dietary potassium requirements with health care professional (see Food Sources for Specific Nutrients)

» Instruct patient to notify health care professional of medication regimen before treatment or surgery

» Advise patient to report muscle weakness, cramps, nausea, vomiting, diarrhea, or dizziness to health care professional

» Emphasize the importance of routine follow-up exams

• Hypertension: Advise patient to continue taking the medication even if feeling better. Medication controls but does not cure hypertension

» Encourage patient to comply with additional interventions for hypertension (weight reduction, low-sodium diet, regular exercise, smoking cessation, moderation of alcohol consumption, and stress management)

» Instruct patient and family in correct technique for monitoring weekly blood pressure

» Advise patient to consult health care professional before taking OTC medication, especially cough or cold preparations, concurrently with this therapy

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