Diuretics
I am the class of drugs that can be used for edema and hypertension
What are diuretics?
I may be used as the first line of defense in a patient with mild hypertension.
What is a diuretic?
Hydrochlorothiazide may be used as the first type of med with mild hypertension.
Patient teaching regarding Isoniazid must include two important factors.
What are take one hour before or two hours after meals and have a yearly eye exam?
Also teach patient signs and symptoms of peripheral neuropathy. B6 along with this med may help prevent.
Side effects: dizziness, drowsiness, N & V, blurred vision
I am a first generation antihistamine given for allergies and the common cold.
What is Diphenhydramine?
Uses: allergic rhinitis, common cold, sleep, pruritus (itching), urticaria (hives)
Side effects: drowsiness (think safety), dizziness
do not drink, do not drive
Adverse: hypotension, palpitations
I am a Beta 2 Adrenergic Agonist given to a patient for an acute asthma attack.
What is Albuterol?
Side effects: monitor vital signs, tremor, nervousness, restlessness, agitation, anxiety
Adverse: tachycardia, palpitations, hypertension, infection
Patient teaching: monitor heart rateI may need to be on a potassium supplement with this type of diuretic.
What is a potassium wasting diuretic?
Remember Hydrochlorothiazide and furosemide are both potassium wasting.
Teach about a high potassium diet, daily weights, rise slowly due to orthostatic hypotension
I belong to the class of drugs in which caution must be used if the patient has COPD or asthma.
What is a beta blocker?
Uses: hypertension, to prevent angina, acute MI, HF
Side effects: nausea/vomiting, dizziness, drowsiness
Adverse: hypotension, bradycardia
Labs: liver
Make sure patient is taught how to check BP & HR at home, African American patients need a diuretic along with their beta blocker to increase its effectiveness.
I am given with Isoniazid to prevent the adverse effect of peripheral neuropathy.
What is Vitamin B6 (pyridoxine)?
I am known for the side effects of drowsiness and dizziness so patients need to not drive while taking.
What is Diphenhydramine?
Montelukast has the therapeutic uses of.
What is allergic rhinitis, asthma, and exercise induced bronchospasm?
Bronchodilator
side effects: Headache, dizziness, restlessnessAdverse:suicidal ideation
Take at bedtime
Not used for an acute asthma attack
No NSAIDS or Aspirin=block drug action
I should not be used if immediate diuresis is warranted.
What is a "thiazide" diuretic?
Thiazide diuretics take a while to see results. Remember to watch potassium levels and sodium levels carefully.
Diuresis is what the doctor might refer to when they have a patient on a diuretic meaning how is their output.
I am an Alpha-Adrenergic Blocker that has the side effect of causing peripheral edema.
What is Prazosin?
I am the medication given for Tuberculosis that turns all body fluids orange.
What is Rifampin?
Take on an empty stomach, glasses may be needed if patient wears contact lenses, no alcohol.
A patient taking Loratadine may experience what side effects and adverse effects.
What are drowsiness, dizziness, tachycardia?
Monitor vital signs (tachycardia, palpitations), may cause drowsiness in some, may cause nervousness
Those with liver issues use caution.
Name three adverse effects of Montelukast.
What are anaphylaxis, suicidal ideation, and seizures?
I belong to the class of Loop diuretics
What is Furosemide?
Uses: heart failure, hypertension, pulmonary edema, renal dysfunction.
Monitor I & O, daily weights, potassium levels, if the order is for IVP-do very slowly, eat foods high in potassium.
If patient is on Digoxin: low K = possible high digoxin=possible toxicity
I am an Angiotensin-converting enzyme inhibitor (ACE) with the side effect of an irritating cough.
What is Lisinopril?
Side effects: cough, headache, Nausea and vomiting
Adverse: angioedema, hyperkalemia (hangs on to K)
African American patients need a diuretic along with their ACE inhibitor to make it more effective.
Check potassium labs and renal (most important)
Diet teaching=foods low in K
No over-the-counter meds unless MD ok
Monitor BP and HR at home
I am the lab test that must be monitored when a patient is taking a medication for TB.
What is liver enzymes?
Patient needs to understand liver labs are a must while on TB meds.
I am the decongestant that has the contraindications of hypertension, cardiac disease, diabetes, and hyperthyroidism.
What is Pseudoephedrine?
Uses: rhinitis, nasal congestion, common cold
do not take before bedtime
avoid large amounts of caffeine
Glucocorticoids work by having this type of action.
What is anti-inflammatory action?
Prednisone is a glucocorticoid
I have the therapeutic uses of increased intracranial pressure and increased intraocular pressure
What is Mannitol?
Monitor vital signs (tachycardia), pulmonary edema due to rapid fluid shift, monitor labs, use caution in patients with heart disease, accurate I & O a must.
African-Americans need to take a diuretic with what class of drugs.
What are beta blockers and ACE inhibitors?
We are the first line treatments for TB.
What is Isoniazid and Rifampin?
make sure you know side effects of both and patient teaching
I am an antitussive given for cough.
What is Dextromethorphan hydrobromide?
Side effects: dizziness, drowsiness, N & V
Adverse: tachycardia, seizures
Not used for those with a productive cough
How are you feeling about exam 3?
I'm nervous or feeling confident.