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15 Cards in this Set
- Front
- Back
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ALL diuretics are used for what? |
Anti-diuretics
antihypertensive
(glaucoma, rarely) |
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What is the name of a potassium wasting diuretic? |
Furosemide (Lasix) |
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Where does Furosemide (Lasix) work in the body? Action? |
Work primarily among the thick ascending limb of the Loop of Henle, blocking chloride, and secondarily, sodium reabsorption. |
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What are adverse effects of Lasix? |
Dehydration • hyponatremia- decrease sodium from water loss • hypochloremia- loss of chloride from loss of electrolytes • hypokalemia- loss of potassium • Unusual tireness • weakness/dizziness • Orthostatic hypotension • hyperglycemia- Increase glucose levels • Hyperuricemia- Loss of water= increase for gout. increases uric acid levels. |
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When a patient is on Lasix what is rapidly lost? |
Rapid volume and electrolyte depletion |
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Patient teaching for Lasix? (potassium wasting) |
DAILY WEIGHT Monitor adequate in and outs and potassium loss. VS. • Monitor signs and symptoms of hearing loss which may last for 1 to 24 hours. (TINNITUS) • Teach patient to take medication early in the day to decrease nocturne. • Teach patient to report any hearing loss or signs of gout. (increased uric acid levels) |
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What is a common potassium sparing diuretic? |
Spironolactone (Aldactone) Potassium sparing |
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What is the action of Spironolactone (Aldactone) Potassium sparing? |
Referred to as ALDOSTERONE-inhibiting diuretics because they block the aldosterone receptors......Tyrone |
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What are the MOST common adverse effects of Spironolactone (Aldactone) Potassium sparing? |
HYPERkalemia most common Weakness, leg cramps Stops the female cycle |
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What are common interactions of Spironolactone ? |
ACE inhibits Potassium supplements
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Patient teaching for spironolactone? |
Watch potassium intake: rich in K+ such as bananas Report leg pain, fatigue or nausea, weakness Take meds after meals if GI upset occurs |
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what are the THIAZIDE like diuretics? |
Chlorothiazide (Diuril)
Hydrochlorothiazide (Microzide) |
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Where does the action take place in Chlorothiazide (Diuril) and Hydrochlorothiazide (Microzide) drugs? |
Primary site is the distal convoluted tubule, where they inhibit the reabsorption of Na+, K+, and Cl-..
Also cause direct relaxation of the arterioles, which reduces peripheral vascular resistance (afterload). |
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Common adverse effects of Thiazide drugs? |
Relate to the electrolyte and metabolic disturbances they cause: • Hypokalemia • HYPERcalcemia • Increased Lipids, Glucose and Uric Acid levels |
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Patient teaching for thiazide drugs? |
Teach patient to take medication early in the day to decrease nocturne. Teach patient to report any hearing loss or signs of gout. Encourage intake of potassium rich foods. |
