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38 Cards in this Set

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Little Na and H20 is resorped into the blood and is therefore excreted as urine when using these diuretics
CAI - Carbonic Anhydrase inhibitors
These drugs are used to treat open angle glaucoma and CHF
CAI - Carbonic Anhydrase inhibitors
Increase Digitalis toxicity, oral hypoclycemis and steroids are interactions with this diuretic:
CAI - Carbonic Anhydrase inhibitors
An adverse effect of this diuretic is that it causes increased blood glucose in diabetics
CAI - Carbonic Anhydrase inhibitors
This diuretic causes Metabolic Acidosis:
CAI - Carbonic Anhydrase inhibitors
Diamox is this type of diuretic:
CAI - Carbonic Anhydrase inhibitors
Controling Epilepsy is an off label use of this diuretic:
CAI - Carbonic Anhydrase inhibitors
This diuretic reduces the formation of H+ and HCO3:
CAI - Carbonic Anhydrase inhibitors
These diuretics are effective for only 2-4 days:
CAI - Carbonic Anhydrase inhibitors
Lasix is this type of diuretic:
Loop
This type of diuretic has a rapid onset and lasts 2 hours
Loop
Because of its decreased return of blood to the heart this diuretic produces these CV effects: Reduced BP, Reduced vascular resistance, reduced central venous pressure, reduced left ventricular end-diastolic pressure:
Loop
These diuretics are used with others in sequential nephron blockade therapy
Loop
This type of diuretic interacts with Antibiotics, corticosteroids, digoxin & lithium, NSAIDS (opposite prostaglandin activity)
Loop
Management of Loop diuretic overdose includes:
Electrolyte and fluid replacement
Too rapid administration of this diuretic may case hearing loss:
Loop
Many older folks call this diuretic their "water pill"
Loop diuretic
Lasix
Furosemide
This type of diuretic include mannitol (most common), urea, organic acids and glucose
Osmotic Diuretics
Because it produces only a slight loss of electrolytes (ex: Na) this diuretic is not recommended for patients with peripheral edema.
Osmotic Diuretics
Mannitol
This type of diuretic is used to treat Acute Renal Failure (ARF), excretion of toxic substances, decrease ICP, genitourinary irrigant, cerebral edema
Osmotic Diuretics
There are no known interactions with this diuretic:
Mannitol
Osmotic Diuretics
This diuretic prevents kidney damage during acute renal failure
Mannitol
Osmotic Diuretics
Nursing interventions for this diuretic call for a foley catheter and hourly checks
Mannitol
Osmotic Diuretics
These diuretics are used in children with CHF:
K+ Sparing Diuretics
Amiloride & Triamterene
These diuretics are also caled Aldosterone inhibiting diuretics:
K+ Sparing Diuretics
These diuretics work better as an adjunct to toher diuretics (especially thiazides):
K+ Sparing Diuretics
These diuretics elevate K+ and Cl- levels:
K+ Sparing Diuretics
These diuretics cause K+, Mg, & Cl to be lost in the urine:
Thiazides
Interactions with these diuretics include Lithium, ACE inhibitors, K+ Supplements
K+ Sparing Diuretics
These diuretics cause direct relaxation of the arterioles and thus cause reduced peripheral vascular resistance (afterload)
Thiazides
Used in the treatment of CHF and Hypertension and also in edematous states, idiopathic hypercalciuria, & Diabetes Insipidus (Lilley)
Thiazides
This type of diuretic works only in the Proximal tubule of the Nephron:
CAIs (Carbonic Anhydrase Inhibitors)
This type of diuretic works in the Ascending Loop of Henle of the Nephron:
Loop Diuretics
This type of diuretic works in the Proximal tubule and the Descending Loop of Henle of the Nephron:
Osmotic diuretics
These 2 types of diuretics work in the distal tubule of the Nephron:
Thiazide and K+ Sparing Diuretics
Nursing Interventions for Patients taking Diuretics
Daily Weight, BP and Pulse, hydration status (I&O), Serum electrolytes
Nursing Assessment Baseline data for diuretic patients:
Sulfonamide Allergy, BP & Pulse, Weight, Labs: Serum electrolytes, BUN/Creat, PH, ABGs, Glucose
Patient Education for Patients on Diuretics:
Maintain proper nurtition & Fluid intake, Provide list of K+ rich foods (not 4 K+ Sparing Diuretics), Take in AM to prevent nocturia, Frequent Labs are necessary, Change positions slowly , Keep a daily journal of wight, increase fiber, S&S of Hypokalemia, Digitalis pts should mon pulse rate, diabetics should monitor glucose