Module 9
What drugs interact with thyroid medications?
Digoxin
Warfarin
If someone has acute renal failure, what are some of the potential problems they may experience?
Cardiac dysrhythmias
Fluid overload
Pulmonary edema
Anemia
Increased Uria levels
Metabolic acidosis
137-145
Normal Magnesium
1.8-2.4
What phase of acute renal failure do you use osmotic diuretics in?
Oliguric phase
What are the causes of Goiter?
Iodine Deficiency
Thyroid Cancer
Hashimoto’s Disease
Pregnancy
Why do people with acute renal failure tend to have anemia?
Erythropoietin is in the kidneys and functioning poorly, causing decreased erythropoietin
Normal Potassium
3.5-5.1
Normal Phosphorus
2.7-4.4
What is an example of potassium sparing diuretic?
Spironolactone
How much urine output does someone have with acute renal failure?
Less than 400ml per day
What medications can cause acute renal failure?
NSAIDS
Antibiotics
Ace Inhibitors
Normal Chloride
98-107
What is an example of a loop diuretic?
Furosemide (Lasix)
What might happen to someone taking spironolactone?
Potassium might increase
What type of acid base imbalances occurs with acute renal failure?
Metabolic acidosis
What GFR level for a person with Chronic Kidney Failure indicators the need for dialysis or a kidney transplant?
less then 15
Normal BUN
7-24
What do loop diuretics cause?
Hypokalemia
What are the side effects of spironolactone?
Gynecomastia
Amenorrhea
Irregular menses
Post-menopausal Bleeding
What are the lab level changes for a person with acute renal failure?
Increased potassium
Decreased sodium
Increased BUN
Increased Creatinine
What are the symptoms of Chronic Renal Failure?
Confusion
Anemia
Pitting edema
Dry, Flaky skin
Normal Creatinine?
0.6-1.2
What is an example of an osmotic diuretic?
Mannitol
What are the EKG changes for loop and potassium sparing diuretics?
Hypokalemia- U -Wave
Hyperkalemia- Tall tented T wave