Drug Class - Diuretics

Front 1

Name 6 groups of diuretics?

Back 1

loop
osmotic
potassium-sparing
thiazide-like
miscellaneous

Front 2

Name 3 loop diuretics?

Back 2

bumetanide
osmotic
potassium-sparing
thiazide
thiazide-like
miscellaneous

Front 3

Name 1 osmotic diuretics?

Back 3

mannitol

Front 4

Name 3 potassium-sparing diuretics?

Back 4

amiloride
spironolactone
triamterene

Front 5

Name 3 thiazide diuretics?

Back 5

chlorothiazide
chlorthalidone (thiazide-
like)
hydrochlorothiazide

Front 6

Name 2 thiazide-like diuretics?

Back 6

indapamide
metolazone

Front 7

Name 1 miscellaneous diuretic?

Back 7

acetazolamide

Front 8

Thiazide diuretics and loop diuretics are used alone or in combination in the treatment of

Back 8

hypertension
edema due to CHF or other
causes

Front 9

Potassium-sparing diuretics have weak diuretic and antihypertensive properties and are used mainly to conserve ______ in patients receiving thiazide or loop diuretics.

Back 9

potassium

Front 10

Which kind of diuretics are often used in the management of cerebral edema?

Back 10

osmotic diuretics

Front 11

Diuretics enhance the SELECTIVE excretion of various electrolytes and water by affecting renal mechanisms for ______ secretion and reabsorption.

Back 11

tubular

Front 12

Contraindications?

Back 12

hypersensitivity

Thiazide diuretics may exhibit cross-sensitivity with other sulfonamides.

Front 13

Use with caution in patients with ____ or ____ disease.
Safety in pregnancy and lactation not established.

Back 13

renal
hepatic

Front 14

Additive _____ with corticosteroids, amphotericin B., mezlocillin, piperacillin, or ticarcillin.

Back 14

hypokalemia

Front 15

Hypokalemia enhances ____ ____ toxicity.

Back 15

digitalis glycoside

Front 16

Potassium-losing diuretics (increase, decrease) lithium excretion and may cause toxicity.

Back 16

decrease

Front 17

Additive ______ with other antihypertensives or nitrates.

Back 17

hypotension

Front 18

Potassium-sparing diuretics may cause ______ when used with potassium supplements or ACE inhibitors.

Back 18

hyperkalemia

Front 19

There are a lot of assessments for diuretic use.
Some of them are? (21)

Back 19

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

Front 20

When taking thiazide diuretics, there may an increase in what 3 things?

Back 20

serum cholesterol
low-density lipoprotein (LDL)
triglyceride

Front 21

List 2 potential nursing diagnoses?

Back 21

Fluid volume, excess
Knowledge, deficient, related
to disease processes and
medication regimen

Front 22

IMPLEMENTATION:
Administer oral diuretics in
the 1______ to prevent
disruption of sleep cycle.
Many diuretics are available
in combination with
2_______ or 3______-_______
diuretics

Back 22

1 morning

2 antihypertensives
3 potassium-sparing

Front 23

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.

Back 23

antihypertensive

Front 24

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 ______ _____.

Back 24

orthostatic hypotension
orthostatic hypotension

Front 25

Instruct patient to consult hcp regarding dietary ____ guidelines.

Back 25

potassium

Front 26

Instruct patient to monitor _____ weekly and report significant changes.

Back 26

weight

Front 27

Caution patient to use sunscreen and protective clothing to prevent _____ reactions.

Back 27

photosensitivity

Front 28

Advise patient to consult hcp before taking _____ medication concurrently with this therapy.

Back 28

OTC

Front 29

Instruct patient to notify hcp of medication regimen before treatment or surgery.

Back 29

okay

Front 30

Advise patient to contact hcp immediately if which 6 symptoms occur?

Back 30

muscle weakness
cramps
nausea
dizziness
numbness of extremities
tingling of extremities

Front 31

Emphasize the importance of routine follow-up.

Back 31

okay

Front 32

HYPERTENSION: Reinforce the need to continue additional therapies for hypertension which include 6 things?

Back 32

weight loss
regular exercise
restricted sodium intake
stress reduction
moderation of alcohol
consumption
cessation of smoking

Front 33

Instruct patients with hypertension in the correct technique for monitoring weekly ____ ____.

Back 33

blood pressure

Front 34

EVALUATION:
Effectiveness of therapy can be demonstrated by (6)?

Back 34

decreased blood pressure...
increased urine output...
decreased edema....reduced
intracranial pressure...
prevention of hypokalemia in patients taking diuretics...
treatment of
hyperaldosteronism