Diuretic Drugs

Front 1

Furosemide/Lasix

Back 1

~High ceiling/loop.
~TX: Pulm edema associated w/ CHF, Edema of hepatic/cardiac/renal origin, and HTN. HF
~Adverse: ototoxicity, decreased vol, decreased BP, electrolyte imbalance. monitor lbs.
Most effective.

Front 2

HCTZ

Back 2

~Thiazide
~TX:essential HTN, edema, diabetes insipidus. HF
~Adverse: increased plasma uric acid and glucose.

Front 3

Spironolactone

Back 3

~K+ sparing aldosterone antag.
~TX: HTN and edema. HF
~Adverse: Hyperkalemia
always combine with loop/thiazide.

Front 4

Triamterene

Back 4

~K+ sparing nonaldosterone antag
~TX: HTN and edema. HF
~Adverse: Hyperkalemia
use w/ thiazide/loop

Front 5

Mannitol

Back 5

~Osmotic
~Tx: HTN, cranial/ocular P
~Adverse: Pulm Edema. no systemic effects-doesn't change Na/Cl/K.

Front 6

Use Diuretic for what?

Back 6

1st line defense for HF b/c decrease bld vol---decreased P on walls, decrease edema, and heart vessel dilation.
Aides in HTN, pulm edema, edema of hepatic/cardiac origin.

Front 7

Diuretic monitoring and nursing notes

Back 7

~Monitor BP, weight, electrolytes, intake/outtake.
~Watch for hypokalemia.
~Not w/ Digoxin b/c it competes with K+ for binding, if low K then more Digoxin with bind---toxicity.

Front 8

How to Tx hypokalemia from diuretics?

Back 8

Supplement w/ potassium. IV: slow and dilute. no Push and monitor heart.