MOA
The mechanism of action for this medication is that it acts on the early distal tubule to decrease the reabsorption of sodium
What is hydrochlorothiazide (Microzide)?
What is hypokalemia?
Normal saline (0.9% NaCl) and Lactated Ringer are examples of this type of IV solution
What is a crystalloid?
An adverse effect of this medication is metabolic alkalosis
What is sodium bicarbonate?
A nurse would want to assess this vital sign before administering a diuretic
What is a blood pressure?
The mechanism of action of this drug is that it prevents the reabsorption of sodium and chloride in the loop of Henle region of the nephron
What is furosemide (Lasix)?
A lab level of 133 mEq/L would indicate this electrolyte deficiency
What is hyponatremia?
This type of IV solution is given when the patient's condition requires rapid volume expansion
What are colloids?
An adverse effect of this loop diuretic is hypotension
What is furosemide (Lasix)?
A nurse would want to assess this lab value before administering a potassium supplement
What is a potassium level?
The mechanism of action of this drug is that it acts by inhibiting aldosterone, the hormone secreted by the adrenal cortex responsible for increasing the reabsorption of sodium in exchange for potassium
What is spironolactone (Aldactone)?
This prototype drug can be used to treat acidosis
What is sodium bicarbonate?
This type of IV solution would be administered if the client had MILD hyponatremia
What is an isotonic solution?
An adverse effect of this medication is fluid overload (tachycardia, edema, distended neck veins, dyspnea, cough)
What is dextran 40 (Gentran 40)?
A nurse would want to hold this type of medication if the client's blood pressure was low
What is a diuretic?
The mechanism of action of this drug is that it raises the osmotic pressure of the blood to cause fluid to move from the interstitial spaces of the tissues to the blood
What is dextran 40 (Gentran 40)?
If given IV push or as a bolus, this electrolyte replacement could cause cardiac arrest
What is potassium chloride?
This would be an indication for IV therapy if a patient was dehydrated
Intake and output were imbalanced
Two common side effects of this thiazide diuretic are hypokalemia and low blood pressure
What is hydrochlorothiazide (Microzide)?
A nurse would want to ensure that this type of medication is taken in the morning to prevent nocturia
What is a diuretic?
The mechanism of action of this drug is to raise the pH of body fluids
What is sodium bicarbonate?
This electrolyte, when given orally, should not be crushed or chewed
What is potassium chloride?
This type of solution causes plasma to have more solutes than the interstitial fluid
Hypertonic solution
To avoid hyperkalemia with this diuretic, a nurse should provide education to the patient on a low potassium diet, restricting foods like bananas and orange juice
What is spironolactone (Aldactone)?
A nurse would identify that a client is particularly at risk for hyperkalemia if they were taking which two medications?
What is spironolactone (Aldactone) and an ACE inhibitor (lisinopril)?