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23 Cards in this Set

  • Front
  • Back

How is Spironolactone (Aldactone) administered?

PO

What is Spironolactone (Aldactone used for?

An adjunct to resistant HTN


Treat edema associated with HF and cirrhosis

What are the s/adverse effects of Spironolactone (Aldactone)?

Hyperkalemia


Hyponatremia


Gynecomastia

Before administering Spironolactone (Aldactone), what pieces of information would a prudent junior colleague have?

K+, BP

How is Hydrochlorothiazide (Hydrouricil) administered?

PO

What is Hydrochlorothiazide (Hydrouricil) used for?

mild to moderate HTN

What are the s/adverse effects of Hydochlorothiazide (Hydrouricil)?

Hypokalemia


Hyponatremia


Hypovolemia


Hypotension


dizziness, headache, fatigue


Hyperglycemia


Hyperuricemia

Who should be under precautions while on Hydrochlorothiazide (Hydrouricil) therapy?

Patients with renal insufficiency, diabetes, gout, and sulfa allergy

What would pieces of information would a prudent junior college have before administering Hydrochlorothiazide (Hydrouricil)?

K+levels, Glucose, BP, Cr., Uric acid levels, allergy info

What nursing considerations should be monitored while administering Hydrochlorothiazide (Hydrouricil)?

Monitor I&O


Labs


VS


Potassium Supplement

What do you lose while on loop diuretics?

Na+, K+, Mg+


increase glucose


increase uric acid

How is Furosemide (Lasix) given?

PO, IV, IM

What is Furosemide (Lasix) used for?

Treatment for edema


Cirrhosis


HF


Renal impairment


added later for HTN

How long does it take for Furosemide (Lasix) to act on IV?

5 minutes

What are the s/adverse effects of Furosemide (Lasix)?

hypokalemia, hyponatremia, hypomagnesemia


hyperglycemia, hyperuricemia, Hypovolemia, hypotensionWhat Ototoxicity, watch for 'sulfa' allergy

What pieces of information does a prudent junior colleague need to know before administering Furosemide (Lasix)?

BP, K+ levels, Glucose, Allergy info, Uric acid levels

What nursing considers should the nurse follow while administering Furosemide (Lasix) therapy?

Monitor I&O


Labs


VS


K+ supplement

What should the nurse teach the patient while on Furosemide (Lasix)?

BP cuff at home


Position changes


Weigh daily


Monitor glucose


Photosensitivity


s/sx of hypokalemia


Report hearing changes


Intake of K+ rich foods

What foods are rich in K+?

fresh fruits and vegetables

How is Mannitol (Osmitrol) given?

PO

What is Mannitor (Osmitrol) used for?

Increase urine output in renal failure


Decrease ICP in status post-op head trauma



What are the s/adverse effects of Mannitol (Osmitrol)?

Profound fluid and electrolyte imbalances

What nursing considerations should the nurse follow while administering Mannitor (Osmitrol)?

Monitor I&O


Labs


VS


May cause rebound increase ICP