die-ur-ret-ics

drugs

100

Which drug is 1st line option, and best for removing excess fluid from the body? give an example

Loop diuretic- furosemide

200

Which drug is best for uncomplicated hypertension and long term use of management of HTN?

Thiazides:hydrochlorthiazide

300

Which drug can lead to hyperkalemia?

Pottasium sparing: spirinolactone

400

This drug is not commonly used, but does reduce intracranial and intraocular pressure by its MOA.. who am i?

Adjuvant drug, osmotic.. mannitol

500

This drug is good to treat open angle glaucoma, but due to its MOA it can cause acidosis.. who am i ?

CAI'S- azetazolamide

SE:

100

If your pt is having hypokalemia, hyponatermia,hyperuricemia and tinnitus what diuretic do i belong to?

Loop- furosemide

200

with the drug youll experience hypokalemia, hyponatremia, hypercalcemia and genitoury impotence

thiazides- hydrochlorothiazide

300

when taking sprinolactone what are the 3 main SE?

Hyperkalemia

gynecomastia

irregular menses

400

What are the 3 side effects of Osmotic diuretics?

convulsions

thrombophlebitis 

pulmonary congestion

500

If im have acidosis and hypokalemia from after taking this drug... who am i?

CAI- azetazolamide

MOA:

100

i work in collecting duct and distal convoluted tube, get rid of sodium and water but keep potassium

sprinolactone

200

what is the MOA for CAI'S

- inhibit the carbonic anhydrase reduces hydrogen ions concentration in renal tubules and inhibits excretion of bicarb/sodium and potassium

300

I dilate the arterioles by direct relaxation, i work in the distal convoluted tubule and inhibit tubular reabsorbtion of sodium, chloride and potassium

Thiazide- hydrochlorothiazide

400

I act directly on the ascending limb of the loop of henle and inhibit sodium and chloride reabsorbtion.. who am i?

furosemide.. loop

500

I pull water ito renal tubules from surrounding tissues, mainly work on the proximal tubule

Mannitol- osmotic

Pt scenario

100

your pt who has a history of HF is given furosemide, an few hours later she complains of ringing in ears and feels lightheaded... what adverse effect is she expericing AND what lab value needs to be monitored?

- she is expierincing ototoxicity and needs to monitor BUN and creatine levels

200

your 54 year old pt with HF is taking sprinolactone and lisinopril, todays lab show potassium=5.9 mEq/l and ECG shows peak t wave. What is the priority intervention?

Hold spinolactone and contact provider

-this combination can cause dangerous hyperkalemia, nurse must hold it and contact provider asap before any corrective treatment

300

if your pt taking mannitol notices crystals forming in the IV solution and is devoloping SOB and pulmonary crackles.. what combination of actions should the nurse do?

stop the infusion, use an in-line filter, assess for fluid overload

400

your pt has a history of renal complications and HF/HTN and has a order for sprinolactone to treat HF and HTN, when assessing lifestyle modifications he says his diet is healthy and consists of fruits like apples and bananas and lots of veggies, he also works out. As a nurse what is your priority intervention?

question order since sprionolactone is contraindicated in renal failure and the pt has a high potassium diet which could lead do hyperkalemia if on this med

500

your patient is taking furosemide to help drain excess fluid, he realizes hes gained 4 pounds. what does this mean?

fluid retention, alert provider asap

Nursing indications/BBW/Contraind.

100

which drug has the fastest dieresis but may require supplementation and is contraindicated for sulfa allergy?

loop- furosemide

200

I cannot give this med to a pt who has gout,  uncontrolled DM or Hyperlipidemia. i also am contraindicated for renal failure 

thiazides 

300

use with caution of renal failure and cannot have potassium rich foods

spironolactone

400

Which drug cannot be combined with DIGOXIN since it can lead to hypokalemia and toxicity

CAI's

500

What are signs and symptoms of hypokalemia?

muscke weakness, constipation, irregular pulse, lethargy