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24 Cards in this Set
- Front
- Back
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Primary use for Loop Diuretics
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Tx HTN and Edema
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Secondary use for Loop Diurectics
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CHF
Renal Insuficiency Hypercalemia |
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T/F: Loop Diurectics are effective in patients with impaired kidney function.
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True
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Diuresis -> Electrolyte Imbalance
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Hypo:
*Natremia *Kalcemia *Magnesemia *Calcemia |
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Side/Adverse Effects of Diuresis
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Dehydration
HypoTN, postural hypotension, syncope Ototoxicity *Mayprecipitate RENAL FAILURE in patients taking an NSAID and an ACE Inhibitor = "Triple whammy" |
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Monitor electrolytes especially
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K Levels
Potassium level < 3.5 req supplements. Teach pts to eat a high potassium diet. |
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Other nursing interventions for patients on diurectics
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Monitor I & O
Self monitor BP Rise slowly |
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Thiazide Diuretics
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cholothiazide (Diuril)
Potassium loosing. |
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Primary side effects of Thiazide Diuretics
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Hypokalemia
Dehydration Hyperglycemia |
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Interaction btw Digoxin and Thiazide Diuretics
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Increase risk of hypokalemia
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Patient Teaching for Thaizide Diuretics
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High Potassium Diet
Take diuretic first thing in the AM Signs of hypokalemia. |
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Potassium Sparing Diuretics
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Aldactone (spirolactone)
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Primary side effects of aldactone
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Hypercalcemia
Impotence and menstrual irregularities |
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Interaction btwn ACE Inhibitors, Lisinorpril, and Aldactone
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Increase risk of hyperkalemia
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Patient teaching for potassium sparing diuretics (aldactone)
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avoid potassium containg salt substitutes.
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Osmotic Diuretics
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Mannitol/Osmitrol
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Therapeuic uses of Mannitol/Osmitrol
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Prevent renal failure during hypovolemic shock.
Decrease ICP Promote sodium retention. |
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Primary side effects of Mannitol/Osmitrol (osmotic diuretics)
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Heart failure
Renal failure |
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Interventions for Mannitol
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Give as Bolus.
Admin with filtered needle. Monitor electrolytes q 6hrs prn. Monitor I & O. |
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T/F: Diuretics are appropriate for edema caused by inflammation or any other condition where normal blood-tissue barriers have been broken.
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FALSE
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T/F: Diuretics are not appropriate for edema associated with hypoproteinemia.
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TRUE
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T/F: All Diuretics increase GFR
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FALSE; Osmotics are an exception if they expland blood volume and enhance renal flow AND it was already below normal.
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Thiazide diuretics produce a ______ and ________ diuresis.
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gentle and sustained
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Loop Diuretics producse ______ and _______ diuresis.
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Aggressive and Short-lived.
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