Loop Diuretics
Thiazide Diuretics
K+ Sparing Diuretics
Monitoring
Nursing Considerations
100

This medication is a well-known loop diuretic.

What is furosemide? 

100

Thiazide diuretics work near this part of the kidney. 

What is the distal tubule? 

100

Name 2 foods and 1 drink high in potassium that should be avoided while taking potassium sparing diuretics to avoid hyperkalemia.

spinach, bananas, sweet potato, avacado, potato, broccoli

carrot juice, orange juice, vegetable juice, tomato juice

100

This electrolyte must be monitored with use of diuretics. 

Bonus: the normal range

What is potassium?  3.5-5.0 mEq/L 

100

Diuretics may cause hyperuricemia (increased uric acid) which may result in this condition.

What is gout?

200

Loop diuretics stimulate the excretion of fluids along with these electrolytes from the body. There are four, name three.

What are sodium, potassium, calcium, and magnesium? 

200

This medication is often abbreviated HCTZ.

Bonus: The reason a nurse should avoid using the abbreviation HCTZ.

What is hydrochlorothiazide? 

Bonus: Because it can be confused with hydrocortisone.

200

Indications for use include treatment of hypertension and edema in clients with this condition.

What is heart failure?

200

These labs indicate kidney function

What are creatinine, GFR, BUN?

200

The nurse must monitor for signs and symptoms of these conditions after administration of a diuretic.

What is dehydration and electrolyte imbalance?

300

The effects of loop diuretics last this long in the body.

What is 6-8 hours? 

300

Thiazide diuretics are contraindicated for these clients.

What are clients who do not produce urine (anuria)?

300

Spironolactone is contraindicated in patients with this electrolyte imbalance.  (be specific, hyper or hypo?)

What are clients with hyperkalemia?

300

Clients should monitor this vital sign at home before taking a diuretic.

What is blood pressure? 

300

Client education for diuretic use must include this is related to the fluid volume in the body.

What is hypotension? 

400

Loop diuretics must be used with caution in these two populations. 

What are elderly clients and those with renal impairment? 

400

This is the onset of time after oral administration.

What is two hours? 

400

Concurrent use of spironolactone may decrease the effect of what medication?

What is digoxin? 

400

Urine output should be monitored and reported if less than this amount per hour.

What is 30 mL/hr? 

400

Client education regarding diet may include this information for clients taking non-potassium sparing medications.

What is increase daily potassium intake?

500

Rapid IV infusion of furosemide can cause this.

What is ototoxicity? 
500

Thiazide diuretics are administered to treat this indication.

What is hypertension? 

500

Spironolactone is primarily used to treat mild HTN, but has been found to significantly reduce mortality in patients with this condition?

What is heart failure? 

500

This should be monitored to assess fluid balance.

What are intake and output and weight? 

500

Clients should be instructed to monitor these daily at home.

What is their weight and blood pressure?