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69 Cards in this Set
- Front
- Back
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What is the indication for hydrocholorothiazide (HCTZ)?
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HTN
Edema Ascites *most common* |
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What is hydrocholorothiazide (HCTZ) contraindicated with?
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Digoxin
Lithium |
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What are the side effects for hydrocholorothiazide (HCTZ)?
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-dehydration
-lytes go down (Na, Cl, Mg, K) *CALCIUM goes UP -increase in blood glucose, uric acid, lipids |
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What are the nursing implications for hydrocholorothiazide (HCTZ)?
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-Take in the AM bc of frequent urination
-Monitor glucose -Monitor potassium levels (esp. if taking Digoxin) -Monitor for signs of dehydration *Monitor weight DAILY -Get baseline values |
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What are the signs of hypokalemia?
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-weakness, malaise, fatigue is first sign
-postural hypotension -Depressed T wave -muscle weakness, cramps |
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What causes hypokalemia?
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-N/V, diarrhea
-not enough potassium in diet -diuretics |
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What is the indication for torsemide (Demadex)?
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-HTN
-Edema -Acute Renal Failure |
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What is the indication for bumetanide (Bumex)?
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-HTN
-Edema -Acute Renal Failure |
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What is the indication for furosemide (Lasix)?
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-HTN
-Edema -Acute Renate failure |
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What are the side effects for torsemide (Demadex)?
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-Dehydration
-Lytes go down (Na, Cl, Mg, K) *CALCIUM goes DOWN -Increase in uric acid, blood glucose, and lipids -Hypotension *Ototoxicity *Photosensitivity |
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What are the side effects for bumetanide (Bumex)?
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-Dehydration
-Lytes go down (Na, Cl, Mg, K) *Calcium goes DOWN -Increase in uric acid, blood glucose, and lipids -Hypotension *Ototoxicity *Photosensitivity |
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What are the side effects for furosemide (Lasix)?
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-Dehydration
-Lytes go down (Na, Cl, Mg, K) *CALCIUM goes DOWN -Increase in uric acid, blood glucose, and lipids -Hypotension *Ototoxicity *Photosensitivity |
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What is torsemide (Demadex) contraindicated with?
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-Other K depleting diuretics
-Digoxin -Lithium -Ototoxic drugs like amphotericin B or gentamicin -NSAIDs -Anuria |
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What is bumetanide (Bumex) contraindicated with?
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-Other K depleting diuretics
-Digoxin -Lithium -Ototoxic drugs like amphotericin B or gentamicin -NSAIDS -Anuria |
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What is furosemide (Lasix)contraindicated with?
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-Other K depleting diuretics
-Digoxin -Lithium -Ototoxic drugs like amphotericin B or gentamicin -NSAIDS -Anuria |
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What is the standard starting oral dose for Lasix, Bumex, or Demadex?
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20 - 80 mg
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What is the standard starting IV dose for Lasix, Bumex, or Demadex?
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20 - 40 mg
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What is the IV equivalent to 80mg of po Lasix?
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20 mg IV
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What is the po equivalent to 20 mg of IV Lasix?
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80 mg po
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What are the major nursing implications for torsemide (Demadex)?
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*Take in the AM to allow for frequent urination
-Monitor blood glucose -Monitor potassium levels *Monitor weight DAILY *Measure abdominal girth DAILY -Monitor for gout -Educate about sun sensitivity * |
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What are the major nursing implications for bumetanide (Bumex)?
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*Take in the AM to allow for frequent urination
-Monitor blood glucose -Monitor potassium levels *Monitor weight DAILY *Measure abdominal girth DAILY -Monitor for gout -Educate about sun sensitivity |
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What are the major nursing implications for furosemide (Lasix)?
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*Take in the AM to allow for frequent urination
-Monitor blood glucose levels -Monitor potassium levels *Monitor weight DAILY *Measure abdominal girth daily -Monitor for gout -Educate about sun sensitivity |
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What is the indication for spironolactone (Aldactone)?
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-HTN
-Edema -HF *Potassium sparing, weak diuretic *Often combined with K depleting diuretics |
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What are the side effects of spironolactone (Aldactone)?
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*Hyperkalemia
-Dehydration *Endocrine effects - menstrual changes, men develop breast tissue, women develop hair on face |
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What are the contraindications for spironolactone (Aldactone)?
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-Other potassium sparing diuretics
-Potassium supplements -Anticoagulants -Digoxin -Lithium *Caution with blood transfusions* |
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What are the nursing implications for spironolactone (Aldactone)?
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*Educate pt to avoid potassium rich foods
-Monitor fluids and electrolytes -Monitor I&O *Educate about endocrine effects |
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What are the signs and symptoms of hyperkalemia?
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*Peaked T wave
*Muscle weakness and cramps -Hyporeflexia -fatigue, confusion *seizures |
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What are the indications for triamterene (Dyrenium)?
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-HTN
-Edema *K sparing diuretic *Often combined with K depleting diuretic |
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What are the indications for amiloride (Midamor)?
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-HTN
-Edema *K sparing diuretic *Often combined with K depleting diuretic |
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What are the side effects for triamterene (Dyrenium)?
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*Hyperkalemia
-Leg cramps *Hyperglycemia |
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What are side effects of amiloride (Midamore)?
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*Hyperkalemia
-Leg cramps *Hyperglycemia |
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What are the nursing implications for triamterene (Dyrenium)?
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-Monitor glucose
-Monitor for hyperkalemia -Avoid potassium rich food |
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What are the nursing implications for amiloride (Midamor)?
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-Monitor glucose
-Monitor for hyperkalemia -Avoid potassium rich food |
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What are the indications for mannitol (Osmitrol)?
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*Reduce high ICP
*Reduce cerebral edema -Reduce high IOP -Prevent Renal Failure |
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What are the side effects for mannitol (Osmitrol)?
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*Peripheral edema
*Rebound ICP -Chest pain, tachycardia -Fever, chills -Thromobophlebitis -Confusion or convulsions |
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What are the contraindications for mannitol (Osmitrol)?
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*Intracranial bleeding
*Generalized peripheral edema -CHF, Pulmonary edema |
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What are the nursing implications for mannitol (Osmitrol)?
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-Monitor electrolytes, BUN, Creatinine (Renal failure)
-Monitor ICP/IOP -Watch for extravasation *Strict I&O *IV test dose first |
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What is the indication for colchicine?
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Acute Gout - an ongoing attack
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What are the side effects for colchicine?
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*GI TOXICITY - N/V, anorexia
*Diarrhea - DOSE LIMITING -Alopecia |
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What are the nursing implications for colchicine?
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-Get baseline uric acid levels, monitor
*encourage fluids to flush out uric acid in urine -Avoid with GI disorders *Narrow margin of safety - teach toxicity |
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What is Stage I gout?
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Asymptomatic hyperuricemia
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What is stage II gout?
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Acute gouty arthritis
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What is stage III gout?
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Asymptomatic intercritical period (remission)
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What is stage IV gout?
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Chronic tophaceous gout
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What is the drug of choice for chronic gout?
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Zyloprim
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What are the indications for allopurinol (Zyloprim)?
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*Chronic gout
-Secondary hyperuricemia (chemotherapy) -Decreases uric acid levels to prevent acute attacks |
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What are the side effects for allopurinol (Zyloprim)?
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*Hypersensitivity - DOSE LIMITING.
*GI distress -Drowsiness -Metallic taste *Cataracts - long term use |
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What are the nursing implications for allopurinol (Zyloprim)?
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-Monitor uric acid levels
-Push fluids to flush out *Report skin rash ASAP -Alkaline urine wanted -Caution with anticoagulants |
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What are the indications for probenecid (Benemid)?
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*Hyperuricemia (gout) prevention
*Prolong penicillin & cephalosporin effects by delaying excretion |
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What are the side effects for probenecid (Benemid)?
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*Hypersensitivity
-Renal Injury |
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What are the contraindications for probenecid (Benemid)?
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-Renal pts
-ASA -Heparin |
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What are the nursing implications for probenecid (Benemid)?
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-Push fluid intake (2.5 - 3 L/day to flush)
-Alkalinization of urine (crystals) |
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What is the indication for Bactrim?
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UTI. Most common and most widely used antibacterial.
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What is the indication for Septra?
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UTI. Most common and most widely used antibacterial.
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What are the side effects for Bactrim?
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-HA, Dizzy, depression
*Hypersensitivity *Photosensitivity -Hyperkalemia *Crystalluria, hematuria -Blood dyscrasias |
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What are the side effects for Septra?
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-HA, Dizzy, depression
*Hypersensitivity *Photosensitivity -Hyperkalemia *Crytalluria, hematuria -Blood dyscrasias |
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What are the contraindications for Bactrim?
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-Anticoagulants
-Phenytoin *Birth Control -Folate deficiency |
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What are the contraindications for Septra?
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-Anticoagulants
-Phenytoin *Birth Control -Folate deficiency |
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What are the nursing implications for Bactrim?
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*Push fluids (3L/day!)
*NO MEALS* -Crystals in urine - use strainer *Take FULL course *Obtain clean catch urine specimen BEFORE first dose -Avoid acidic food/drinks |
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What are the nursing implications for Septra?
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*Push fluids (3L/day!)
*NO MEALS* -Crystals in urine - use strainer *Take FULL course *Obtain clean catch specimen BEFORE first dose -Avoid acidic food/drink |
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What is the indication for Macrodantin?
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UTI
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What is the indication for Macrobid?
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UTI
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What are the side effects for Macrodantin?
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*Neuropathy with chronic use
*BROWN urine *Pulmonary reaction |
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What are the side effects for Macrobid?
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*Neuropathy with chronic use
*BROWN urine *Pulmonary reaction |
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What are the nursing implications for Macrodantin?
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*Eat acidic foods to enhance effects
-Educate about brown urine |
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What are the nursing implications for Macrobid?
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*Eat acidic food to enhance effects
-Educate about brown urine |
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What is the indication for phenazopyridine (Pyridium)?
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UTI for pain, burning and frequency.
Analgesic - local anesthetic usually combined with Bactrim, Septra, or a Macro. |
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What are the side effects of phenazopyridine (Pyridium)?
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-HA
*Hemolytic anemia *Skin/eye pigmentation - yellow *RED/ORANGE urine* |
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What are the nursing implications for phenazopyrinidine (Pyridium)?
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-Red urine stain fabrics
*Report yellow skin or eyes *D/C when pain goes away |
