Androgen Hormone Inhibitors
Thiazide Diuretics
Loop Diuretics
K-sparing Diuretics
Osmotic Diuretics
100
Inhibits steroid 5 alpha-reductase which is an enzyme that converts testosterone into (DHT).
What is mechanism of action of androgen horomone inhibitor?
100
Accelerate urine formation and is a first line of defense against hypertension.
What is a thiazide diuretic?
100
Highly Potent: Decreases: pulmonary vascular resistance, systemic vascular resistance, central venous pressure, and filling pressures.
What is a loop diuretic?
100
Excretes Na, Cl, and bicarbonate only.
What is mechanism of K sparing diuretics?
100
creates an osmatic gradient in the glomerular filtrate and in the blood.
What is osmatic diuretics?
200
Treats BPH and male pattern baldness
What is an indication of androgen hormone inhibitor?
200
Increase water absorption and decrease Na reabsorption, but increase Cl, K, and bicarbonate excretion.
What is mechanism of action of a thiazide diuretic?
200
Inhibit Na and Cl reabsorption and increase Na and water excretion.
What is mechanism of action of loop diuretic?
200
Aldactone, Dyrenium, and Midamor.
What is a drug example of k sparing diuretics?
200
Mannitol: Osmitrol (drug of choice)
What is a drug example of osmotic diuretics?
300
Propecia and Proscar
What is AHI drug example?
300
HTN, Edema, and Heart Failure Diuril, Lozol, Zaroxolyn, and HCTZ
What is an indication and drug example of a thiazide diuretic?
300
Tinnitus, deafness, and photosensitivity.
What is a severe side effect of a loop diuretic?
300
Serum K levels 3.5 - 5, Triamteren with Hepatic failure.
What is contraindication k sparing diuretics?
300
severe dehydration (osmolarity altered), PE, Intracranial pressure, and CV
What is contraindication of osmotic diuretics?
400
ED, Breast englargement, LIp swelling, and decreased libido.
What is an adverse effect of AHI?
400
Sensitive to sulfonamides and severe renal failure.
What is a contraindication of a thiazide diuretic?
400
H. failure, Hepatic disease, Hypertension, and Renal disease.
What is indication of a loop diuretic?
400
Hyperkalemia, Anorexia, Muscle cramping, and increased BUN levels.
What is an adverse reaction to k sparing diuretics?
400
May cause rebound ICP 8-12 hrs after diuresis
What is a severe adverse reaction in osmotic diuretics?
500
Alopecia will reoccur after treatment has ended, harmful to male fetus, and treatment of BPH should be evaluated for prostate cancer.
What is nursing responsibility of AHI?
500
Electrolyte levels, hyperglycemia, and administer K supplements.
What is a nursing responsibility of a thiazide diuretic?
500
Lithium toxicity (decreased excretion) Digoxin (hypokalemia=toxicity) Aminoglycosides (ototoxicity) Anticoagulants (bleeding) NSAID (slows diuretics)
What is a drug interaction with a loop diuretic?
500
ace inhibitors increase hyperkalemia, digoxin and spironolactone increase digoxin toxicity, and lithium toxicity.
What is interaction of k sparing diuretics?
500
Circulatory overload (edema, short breath, and jugular vein distenstion), dehydration, increased ICP, and urine output.
What is a nursing responsibility of osmotic diuretics?
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