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62 Cards in this Set
- Front
- Back
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Which med cannot be combined with ototoxic drugs such as gentamicin
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Furosemide
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compare uses of Furosemide and Hyrodchlorothaizide
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Furosemide for pulmonary edema, edmatous states, HTN
Hydrochlorothiazide: edema, HTN, Diabetes Insipidus |
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Which med is syncope a problem with
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furosemide
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what are the adverse effects of furosemide
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hypovolema, hypotension,
hyponatremia, hypochloremia, hypokalemia hyperglycemia, hyperuricemia dehydration ototoxicity low HDL, high LDL and trigly |
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adverse effects of thiazides
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hypovolema, hypotension,
hyponatremia, hypochloremia, hypokalemia hyperglycemia, hyperuricemia dehydration NOT ototoxicity |
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What diuretic is not good if someone has renal failure
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furoseide
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which of the diuretics has profound diuresis
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furosemide
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MOA of furosemide
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blocks NaCl and H2o reabsorption
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MOA of thiazide
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blocks reabsorption of NaCl, promotes excretion of K, Cl, Mg, bicarb
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countraindications for furosemide
cautions |
pregnancy
caution: DM , gout |
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contraindications for thiazides
cautions |
pregnancy
cuation: DM, gout |
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drug interactions of furosemide
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Digoxin- dysrhyhmias
ototoxic drugs: gentamicin lithium toxicity additive effects of other antihypertinsive NSAIDS blunt diuretic |
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thiazides work by
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reducing blood volume
reducing arterial resistance |
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furosemide works by
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decreasing blood volume
decreasing arterial resistance |
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Onset of furosemide
IV PO |
IV: 5-2 hrs- used for critical pulmonary edema
PO: 1-8 hrs |
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nurse must monitor for furosemide
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electrolytes, wt, clucose, BP, lipids
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onset, peak, duration for thiazide
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onset: 2 hrs
peak: 4-6 hrs lasts: 12 hrs |
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which diuretic is used with diabetes insipidus
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hydrochlorothiazide
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which diuretic used for severe heart failure
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spironolactone
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which med is used to counteract loss of K from other meds?
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Amiloride
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don't mix which HTN drugs
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K sparing diuretics with ACEi, ARB, salt or K supplements
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MOA of Spironolactone (K sparing diuretic)
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blocks Aldosterone Na/K pump in distal nephron,
Na excreted, K retained |
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Uses for Spironolactone:
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HTN, edema, severe heart failure, primary hyperaldosterone
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onset of spironolactone (K sparing diuretic)
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up to 48 hours
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adverse effects of Spironolactone (K sparing diuretic)
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hyperkalemia
endocrine effect benign/malignant tumor |
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MOA Triamterene
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directly blocks Na/K pump, inhibits ion transport
decreases Na reuptake |
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adverse effects of triamterene (K sparing diuretic)
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hyperkalemia
leg cramps blood dyscrasis (bone marrow products) |
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cautiously use triamterene with
never use with |
ACEi, ARB,
never use with: K supplements, other K sparing diuretics |
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adverse effect of Amiloride
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hyperkalemia
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use for mannitol
route |
prophylaxis renal failure
decrease intracranial pressure decrease intraocular pressure- glacoma IV: in ICU with urea |
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beta blockers end in
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lol
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drug for migraine prophylaxis
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beta blockers: (lol)
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mainstay drugs for angina
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beta blockers
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standard drug for heart failure
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beta blockers
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ACEi, ARB's, beta blockers all are used for
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HTN
MI |
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ACEi used for
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HTN
MI nephropathy and retinopathy prevent cardiovascular and stroke |
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use for ARB's
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HF
HTN MI nephropathy and retinopathy prevent cardiovascular and stroke |
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MOA ACEi
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supress AII
which causes a supression of vasodilitation, decrease blood volume, decrease cardiac remodeling |
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adverse effects of ACEi
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1st dose hypotension
cough hyperkalemia renal failure fetal injury angioedema: toungue, glottis, pharynx |
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which med causes cough
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ACEi
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which meds do you have to watch for angioedema
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ACEi, ARB's
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drug interactions with ACEi
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diuretics: increase 1st does hypotension
additive effect of antihyp drugs drugs that raise K NSAIDS decrease ACEi effect lithium |
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ACE is contraindicated in
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pregnancy
bilateral renal artery stenosis |
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which med is OK to use with asthma
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ACEi
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which med cannot use with asthma
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beta blocker
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what is the advantage of using ARB's
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no cough
no hyperkalemia |
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1st choice drug that inhibits RAAS
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ACEi
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MOA of ARB's (angiotension receptor block)
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blocks ACTION of AII
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uses of ARB's
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HTN
HF MI retinopathy, nephropathy prophylatic for stroke |
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adverse advantages for ARB's
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higher rigk of hypotension
angeoedema fetal injury renal failure |
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ARBs contraindicated in
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pregnancy
renal stenosis |
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Atenolol, carvedilol, metoprolol, propranolol are what type of meds
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beta blockers
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use of beta blockers
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HTN
HF MI migraine prophylaxis angina |
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MOA for beta blockers
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decrease HR
decrease force of contraction decrease conduction through AV node decrease cardiac output |
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adverse effects of beta blockers
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4 B's : bradycardia
blocks AV node bronchoconstriction blood sugar |
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effects of abruptly stopping beta blockers
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rebound excitation, increase cardiac activity
hypertensive crisis bronchodilation rebound tachycardia |
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drug interactions between propranolol and insulin/DM patients
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propranolol decreases glycogenlysis, thus low blood sugar
problem with insulin which already decreases blood sugar decreases, masks, tachycardia so diabetic can see signs that their blood sugar is getting low |
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which drug will be used for pulmonary edema
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furosemide
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what will happen if K level rises
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dysrhythmia and heart attack
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MOA of Mannitol
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filtered at glomerulus and causes osmotic diuresis, carries water out with it
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adverse effects of mannitol
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edema
headache n/v electrolyte embalance |
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most often used beta blocker
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propranolol
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