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25 Cards in this Set
- Front
- Back
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what do diuretics do?
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decrease blood volume, edema, venous pressure, afterload, cardiac dilation
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adverse of loop diuretic
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ototoxcity, dehydration, hypokalemia, hyper uric and glycemia
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diu drug interactions
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NSAIDs weaken effect and increases Li
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biggest nsg task for diuretics
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monitor weight, IOs
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doses for Lasix and Thiazide HCTZ
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Lasix- 20-80 PO 20-40 IV
HCTZ- 12-25 |
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adverse for spiro
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hyperkalemia, menstal problems, and impotence
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when to take diu
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8 and 2
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high risk for diu
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CVD, renal impairment, diabetes, gout, preg, dig, Li, NSAIDs,
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oliguria value
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25mL/ hour
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signs of hypokalemia
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irregular heartbeat, cramping, flaccid, thirst confusion,
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what does dig do?
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increases contractility by inhibiting NA/K ase which allows Ca to accumlate in myo cells. K competes with Dig
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K blood levels
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3.5-5.0
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what happen when K is low or high?
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K low= dig toxicity
K high= less theraputic effects of Dig |
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dig therapeutic effects for HF
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fix dysrhy, reverse HF wrongs- HR decr, CO improves, dilates art and viens, blood volume decr, with edema and weight is lost.
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dig therapeutic effects- neurohormone
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suppresses renin, decreases sympathetic tone
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how to manage dig dysrhythm
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stop dig and K wasting diu, monitor K level, use antidysrhythmic, treat bardy, use digibind
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non cardiac adverse for dig
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anorexia, NV, fatique, halos, yellow, blured
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dig drug interactions
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diu, ACE, sympathomimetics, CCB- verpamil
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dig dosing
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loading dose, therapeutic blood levels are .5-2 and 2.5 toxic
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first symptom of dig overdose are
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GI- anorexia, NV
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3 causes of dig induced dyrhy
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hypokalemia, elevated dig levels, HF
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people at risk for taking dig
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v fib, v tachy
caution- AV block, hypokalemia, advanced HF, renal impairment |
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AA best treated with
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diuretics and CCB
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what electrolyte imbalances can be cause by diuretics?
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hypo natremia, chloremia, h2o, kalemia
hyper glycemia, and uricemia |
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1 kg equal how much fluid
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1 liter
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