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34 Cards in this Set

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Name 6 groups of diuretics?
loop
osmotic
potassium-sparing
thiazide-like
miscellaneous
Name 3 loop diuretics?
bumetanide
osmotic
potassium-sparing
thiazide
thiazide-like
miscellaneous
Name 1 osmotic diuretics?
mannitol
Name 3 potassium-sparing diuretics?
amiloride
spironolactone
triamterene
Name 3 thiazide diuretics?
chlorothiazide
chlorthalidone (thiazide-
like)
hydrochlorothiazide
Name 2 thiazide-like diuretics?
indapamide
metolazone
Name 1 miscellaneous diuretic?
acetazolamide
Thiazide diuretics and loop diuretics are used alone or in combination in the treatment of
hypertension
edema due to CHF or other
causes
Potassium-sparing diuretics have weak diuretic and antihypertensive properties and are used mainly to conserve ______ in patients receiving thiazide or loop diuretics.
potassium
Which kind of diuretics are often used in the management of cerebral edema?
osmotic diuretics
Diuretics enhance the SELECTIVE excretion of various electrolytes and water by affecting renal mechanisms for ______ secretion and reabsorption.
tubular
Contraindications?
hypersensitivity

Thiazide diuretics may exhibit cross-sensitivity with other sulfonamides.
Use with caution in patients with ____ or ____ disease.
Safety in pregnancy and lactation not established.
renal
hepatic
Additive _____ with corticosteroids, amphotericin B., mezlocillin, piperacillin, or ticarcillin.
hypokalemia
Hypokalemia enhances ____ ____ toxicity.
digitalis glycoside
Potassium-losing diuretics (increase, decrease) lithium excretion and may cause toxicity.
decrease
Additive ______ with other antihypertensives or nitrates.
hypotension
Potassium-sparing diuretics may cause ______ when used with potassium supplements or ACE inhibitors.
hyperkalemia
There are a lot of assessments for diuretic use.
Some of them are? (21)
daily weight
fluid status
I & O ratios
amount and location of edema
lung sounds
skin turgor
mucous membranes
anorexia
muscle weakness
numbness
tingling
paresthesia
confusion
excessive thirst
hypertension (monitor b.p.
and pulse)
increased intracranial
pressure
increased intraocular
pressure
electrolytes (esp potassium)
blood glucose
BUN
serum uric acid levels
When taking thiazide diuretics, there may an increase in what 3 things?
serum cholesterol
low-density lipoprotein (LDL)
triglyceride
List 2 potential nursing diagnoses?
Fluid volume, excess
Knowledge, deficient, related
to disease processes and
medication regimen
IMPLEMENTATION:
Administer oral diuretics in
the 1______ to prevent
disruption of sleep cycle.
Many diuretics are available
in combination with
2_______ or 3______-_______
diuretics
1 morning

2 antihypertensives
3 potassium-sparing
Instruct patient to take medication exactly as directed. Advise patients on _____ regimen to continue taking medication, even if feeling better. Medication controls but does not cure hypertension.
antihypertensive
Caution patient to make position changes slowly to minimize _____ _____. Caution patient that the use of alcohol, exercise during hot weather, or standing for long periods during therapy may enhance ______ _____.
orthostatic hypotension
orthostatic hypotension
Instruct patient to consult hcp regarding dietary ____ guidelines.
potassium
Instruct patient to monitor _____ weekly and report significant changes.
weight
Caution patient to use sunscreen and protective clothing to prevent _____ reactions.
photosensitivity
Advise patient to consult hcp before taking _____ medication concurrently with this therapy.
OTC
Instruct patient to notify hcp of medication regimen before treatment or surgery.
okay
Advise patient to contact hcp immediately if which 6 symptoms occur?
muscle weakness
cramps
nausea
dizziness
numbness of extremities
tingling of extremities
Emphasize the importance of routine follow-up.
okay
HYPERTENSION: Reinforce the need to continue additional therapies for hypertension which include 6 things?
weight loss
regular exercise
restricted sodium intake
stress reduction
moderation of alcohol
consumption
cessation of smoking
Instruct patients with hypertension in the correct technique for monitoring weekly ____ ____.
blood pressure
EVALUATION:
Effectiveness of therapy can be demonstrated by (6)?
decreased blood pressure...
increased urine output...
decreased edema....reduced
intracranial pressure...
prevention of hypokalemia in patients taking diuretics...
treatment of
hyperaldosteronism