Diuretics Flashcards


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1

abbriviation for Hydrochlorothiazide

HTCZ

2

what type of diuretic is hydrochlorothiazide

a thiazide

3

uses of thiazides

hypertension

mild/moderate HF, liver and renal disease

decreases peripheral edema

NOT FOR IMMEDIATE DIURESES

4

complications with diuretics

dehydration

HYPOKALEMIA

hyponutremia

hypomagnesemia

hyperglycemia

hypercalcemia

Increased LDL

5

symptoms of dehydration

dry mouth. increased thirst, minimal urine output and weightloss

6

hypokalemia symptoms

nausea/vomiting, general weakness, fatigue and leg cramps

7

contradiction/precautions with thiazides

pregnancy

lactation and renal impairment

8

two drugs with narrow window that effects diuretics

Digoxin and lithium they can become toxic on these both

antihypertensives may cause hypotension

9

thiazide/ thiazide like diuretics from drug list

hydrochlorothiazide

10

loop diuretic from drug list

furosemide

11

name brand of furosemide

Lasix

12

osmotic diuretic from drug list

mannitol

13

potassium sparing diuretic from drug list

spirolactone

triamterene

14

the combo diuretic on our drug list

triamterene and hydrochlorothiazideq

15

diuretics have a antihypertensive effect because they promote sodium loss and by blocking?

sodium and chloride reabsorption

16

hydrochlorothiazide expected pharmacologic action

blocks reabsorption of sodium and chloride and prevents reabsorption of water in the distal convoluted tubule

17

what part of the kidneys does HTCZ work on?

distal convoluted tubule

18

nursing considerations for diuretics

I&Os

monitor for dehydration

daily weight

all baseline vitals

19

lab abnormalities with thiazides

hypokalemia

hypomagnesemia

hypercalcemia

hyperuricemia

hyperglycemia

20

nursing considerations for thiazides

monitor foods high in potassium

adaquate fluid intake

sunblock to avoid photosensitivity

orthostatic hypotension`

21

where does furosemide work in the kidneys

loop of henle

22

expected pharmacological action

acts in loop of henle to block reabsorption of sodium and chloride as well as prevents reabsorption of water and leads to extensive diuresis

23

complications with loop diuretics that stands out

Ototoxicity with aminoglycosides

24

contradictions with loop diuretics

hypersensitivity to sulfonamides, hypovolemia and severe electrolyte imbalances

25

interactions with loop diuretics

Digoxin toxicity (causes ventricular dysrhythmias)

concurrent use of antihypertensives can have additive hypotension effect

monitor potassium levels need supplements

26

loop diuretics nursing interventions that stand out

encourage high potassium foods

report any tinnitus or hearing loss

report significant weight loss, lightheadedness, dizziness, GI distress or general weakness to providor

27

where does spironolactone and triamterene work in the kidneys

collecting tubule and late distal tubule

28

expected pharmacological action of potassium sparing diuretics

act mostly in collecting tubule and late distal tubule creating sodium and water excretion and potassium retention by blocking aldosterone

29

drug interactions with potassium sparing diuretics

concurrent use with ACE Inhibitors and ARBs

30

contradictions and precautions with potassium sparing diuretics

do not give to those with severe renal failure and anuria

31

nursing considerations with potassium sparing diuretics

monitor vitals including I&Os

motiure potassium levels

avoid salt substitutes

keep track of weight

32

how else may triamterene be given?

as combo drugh triamterene-HTCZ

33

where do osmotic diuretics work in kidneys

proximal tubule and loop of henle

34

most commonly used in HTN and edema associated with HF

thiazide and thiazide like

loop

potassium sparing

35

what does the abbreviation for HTN stand for

hypertension

36

what does the abbreviation for HF stand for

Heart Failure

37

natriuresis

sodium loss in the urine

38

Kidney Tubules

proximal

loop of henle

and collecting

39

in the loop of henle there are _________ and ________ tubules

ascending and decending