Aldosterone antagonist (3)
Osmotic diuretic
Antidiuretic hormone
Carbonic anhydrase inhibitor
Random
100

What is another term for aldosterone antagonist?

- Potassium-sparing diuretics

100

What is the medication under this drug class?

- Mannitol 

100

What is the indication for the use of ADH??

- Shock and cardiac arrest

100

What is the medication name under this drug class?

- Acetazolamide
100

What would you be careful about when someone is taking spironolactone?

- Caution with drugs that increase potassium 

200

What is the medication under this drug class?

- Spironolactone 

200

Provide the indication for its use.

- Reduction of ICP and IOP, increases diuresis related to renal failure
200

What is an off-label use of ADH?

- Diabetes insipidus
200

What is the MOA of this medication?

- INcreased renal excretion of sodium, potassium, bicarb, and water

200

What diuretic medication can worsen edema and is it only given via the IV route?

Mannitol

300

What is the SE/AE of this medication?

Hyperkalemia

300

What are the nursing assessments for someone taking osmotic diuretics?

- Monitor for neuro, cardiac, electrolyte, or volume adverse effects

300

What is the MOA of this medication?

Decreases urine output and vasoconstriction

300

What is the indication for the use of acetazolamide?

- Glaucoma

- Edema

- Acute mountain sickness

300

When a patient is prescribed an ACE inhibitor what medication should you avoid

- Aldosterone antagonist

400

When is this medication used (Indication)?

- HTN 

- Edema and heart failure 

400

What is the MOA of mannitol?

- Interferes with water reabsorption in the kidneys, acts as hypertonic solution

400

What is the role of ADH?

Its role is to pull fluid out of the nephron and into the central circulation
400

Why is this medication rarely used for diuretics?

The carbonic anhydrase inhibitors are rarely used as diuretics because they produce only a weak diuresis and can contribute to metabolic acidosis.

400

Why are patients who take diuretics considered to be on fall precautions?

Diuretics reduce circulating blood volume, and orthostatic hypotension may increase the risk of falls.

500

What is the MOA? and what does it do?

- Blocks aldosterone 

- Aldosterone increases sodium and water reabsorption

500

What are S/S of hyperkalemia 

- Signs and symptoms of hyperkalemia include muscle weakness, fatigue, and bradycardia.

500

Why do we ADH to patients in shock or cardiac arrest?

- promotes vasoconstriction and therefore increases BP
500

What are the SE/AE of this medication?

Electrolyte imbalances, fatigue, vomiting, dizziness

500

What is the patient teaching someone about taking spironolactone?

- Spironolactone does such an efficient job of retaining K+ that hyperkalemia may develop. The risk of hyperkalemia is increased if the patient takes potassium supplements or is concurrently taking ACE inhibitors.

- give with food to promote reabsorption