All About
Diuretics
+
Fluids and
Electrolytes
100
what is the purpose of diuretics?
Help with fluid retention/overload, accelerate urine formation, will also help with Edema, HF, HTN
100
Diuretics may cause sensitivity to sunlight, TRUE OR FALSE?
True
100
what are the different types of diuretics?
Loop, Thiazide, Potassium Sparing, Osmotic and CAI's (Carbonic Anhydrase Inhibitors)
100
Patient has a GFR of 2, which medications are contraindicated with a LOW GFR rate?
Hydrochlorothiazide (Demadex)
Spironolactone
100
why should we push furosimide for 1-2 minutes?
to reduce Ototoxicity
200
A patient presents to ER with complaints of muscle weakness, constipation and irregular pulse rate and overall feeling lethargic, Which electrolyte imbalance is he mostly suffering from?
HYPOkalemia
200
These are examples of which type of solution?
Crystalloid Solutions
200
A patient goes to an ophthalmologist and does a tonometry exam, the MD states the pt has increase Intraocular pressure, which medication will he most likely prescribe to decrease the pressure?
Mannitol
200
What is the most common Diuretic we give to a patient experiencing Shortness of Breath?
Furosemide (Lasix)
200
For patients taking Mannitol, who is important to use filtered IV tubing?
may form crystals when exposed to low temperature.
300
which blood type is the universal donor? Universal recipient?
Donor: O-
Recipient: AB+
300
Match the solutions with their proper descriptions.
A. Isotonic. A.Water flows into cell= cell growth
B. Hypertonic. B. Water flows both equally
C. Hypotonic C. Water flows out of cell & shrinks
Isotonic - B | Hypertonic - C | Hypotonic - A
300
What is wrong with this picture?
there is nothing wrong with this pic, this is the proper way to hang blood
300
Kayexalate must NEVER be given with....
Sorbitol, it will cause Colonic Necrosis
300
What would the RN do if a transfusion reaction is noted on the patient?
Notify the provider and inform blood bank
400
True or False, PO potassium should be diluted with water or fruit juice to minimize GI distress or irritation
TRUE!
400
This diuretic has can be administered PO or IV .
its onset: 30-60 min (PO), 5 min (IV)
Its peak 1-2 hours (PO), 30 min (IV)
what am I?
Furosemide (Lasix)
400
A patient has a HGB of 6 and in need of a blood transfusion, which lab value is collected prior to starting a transfusion to test compatibility?
Type and Screen
400
True or false, Oral medications must be given 45 minutes before a transfusion.
False, must be given 30 min prior
400
A new grad nurse tells her preceptor, this patient has lactated ringers (LR) infusing, I think it's okay to Hang the blood with it. Should the preceptor intervene? Why or why not?
Yes, blood transfusions may only be infused with NORMAL SALINE
500
This type of blood product does what for the body?
Increases clotting factors
500
which electrolytes are termed "Electrolyte Trio"
Na, Mg, K (sodium, magnesium and potassium)
500
A patient presents to the ER for ETOH, which fluids will most likely be given ?
Banana Bag or Saline Bag
500
Potassium sparing diuretics such as spironolactone must be given at which time?
Administer at same time each day (morning)
500
What IV supplies are needed prior to starting a blood transfusion?
20g needle catheter and Y tubing with filter