A hospitalized patient who is taking demeclocycline (Declomycin) reports increased urination, fatigue, and thirst. What will the nurse do?
a. Contact the provider to report potential toxic side effects.
b. Notify the provider to discuss changing the medication to doxycycline.
c. Perform bedside glucometer testing to evaluate the serum glucose level.
d. Provide extra fluids and reassure the patient that these are expected side effects.
ANS: D
Demeclocycline stimulates urine flow and sometimes is used to treat patients with syndrome of inappropriate antidiuretic hormone secretion (SIADH). The patient should be reassured that increased urination, fatigue, and thirst are known side effects of demeclocycline. It is not correct to notify the provider of toxic side effects or to request another tetracycline. Glucometer testing is not necessary, because the increased urination is not related to an elevated blood glucose level.
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