NCLEX- Meds affecting urinary output

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Gandrews
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NCLEX- Meds affecting urinary output
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2013-02-02 18:47:14
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NCLEX Meds affecting urinary output
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NCLEX- Meds affecting urinary output
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  1. Furosemide is what type of diuretic?
    High ceiling loop diuretic. Work on the ascending loop of Henle.

    Can cause diuresis even during renal impairment
  2. How do High ceiling loop diuretics work?
    Block reabsorption of na, chloride and water.
  3. What are some unusual side effects of Furosemide (Lasix)
    hypotension, orthostatic hypotension, ototoxicity
  4. Digoxin and Lasix can cause what electrolyte disorder?
    Hypokalemia
  5. How can NSAIDS effect diuretics?
    can decrease diuretic effect
  6. clients taking furosemide should consume foods that are high in what?
    Potassium
  7. What electrolyte beside potassium can lasix effect?
    Ca, and MG
  8. Ethacrynic acid (Edecrin)
    Bumetanide (Bumex)
    Torsemide (Demadex)

    What type of diuretic are these drugs?
    High ceiling loop
  9. Hydrochlorothiazide
    Thiazide diuretic. work in distal convoluted tubule. blocks reabsroption of na chloride and water.

    Promotes diuresis when there is no renal impairment.
  10. Thiazide in drugn name means?
    thiazide diuretic
  11. Indapamide (lozide)
    Chlorthalidone (Hygroton)
    Metolazone (zaroxlyn)

    are what type of diuretics
    thiazide diuretics.
  12. What diuretics are often the medication of first choice for essential hypertension?
    Thiazide diuretics aka HCTZ
  13. Thiazide and High ceiling diuretics can do what to blood sugar?
    can cause hyperglycemia
  14. Spirinolactone
    K sparing diuretic. Blocks the action of aldosterone (na and water retention) resulting in k retention and secretion of na and water.
  15. treamterene (dyrenium)
    Amiloride (midamor)

    What type of diuretic are these?
    K sparing diuretics
  16. Besides hyper k what is another side effect of k sparing diuretics?
    Endocrine effects (impotence in male clients, irregularities of menstrual cycle in female clients).
  17. Who are k sparing diuretics contraindicated in?
    people who have severe renal failure and anuria
  18. Concurrent use with what drugs can cause hyper k?
    ACE inhibitors.
  19. What kind of food can contain k that is not a well known fact?
    Na substitutes
  20. What k sparing diuretic can turn urine a bluish color?
    Triamtrene (Dyrenium)
  21. Mannitol (osmitrol)
    Osmotic diuretics. Reduce intracranial pressure and IOP by raising serum osmolality and drwing fluid back into the vascular/extravascular space.
  22. What effects does osmotic diuretics have on na?
    promote sodium retention an water excretion in clients with hyponatremia and fluid volume excess
  23. What are some adverse effects of Mannitol?
    heart failure, renal failure and electrolyte imbalances
  24. Use extreme caution when using Mannitol in clients with?
    Heart failure
  25. What would you be concerned about if a pt was taking mannitol and then started having dyspnea?
    Indication that pt is developing hf!

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