Question

CASE 1
Mr. Hanes has been placed on hydrochlorothiazide (Microzide) for high blood pressure, and potassium chloride as a dietary supplement. His wife tells him to eat lots of bananas because she read that this was necessary when taking diuretics. After a few weeks, Mr. Grant becomes weak and feels as if his heart is skipping beats. His blood pressure remains high, despite the diuretic. (Make sure to include the rationale)
1.   What do you think was the cause of Mr. Hanes’ weakness and irregular heartbeat? What should have been explained to him?
2.   The physician examines Mr. Hanes and decides to administer a dose of Sodium Polystyrene Sulfonate (Kayexalate). What is the rationale for administering this drug?
3.   After Mr. Hanes’ condition stabilized, the physician decided to select a more effective diuretic to treat hypertension? Which diuretic would it be?

PHARMACOLOGY SIDE

Answer 1

1. The cause of Mr. Hanes' Weakness and irregular Heartbeat and Weakness is High Potassium levels K⁺ . Because The Doctor Already Administred the potassium Supplements but the Patient still tool Bananas in high dose so he Developed Potassium Oveedose.

2.The Physician examines and Decides to Administer Sodium polystyrene sulfonate because it binds itself to potassium in your digestive tract. This helps prevent your body from absorbing too much potassium. As There is Hyperkalemia in the Body of Mr. Hanes so we Administered this.

3. After Mr. Hanes’ condition stabilized, the physician decided to select a more effective diuretic to treat hypertension. The diuretic would it be Loop Diuretic Like Furosemide which is more potent as well as will help in Relieveing off the Hyperkalemia.