NCLEX- Meds affecting urinary output
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Furosemide is what type of diuretic?
High ceiling loop diuretic. Work on the ascending loop of Henle.
Can cause diuresis even during renal impairment
How do High ceiling loop diuretics work?
Block reabsorption of na, chloride and water.
What are some unusual side effects of Furosemide (Lasix)
hypotension, orthostatic hypotension, ototoxicity
Digoxin and Lasix can cause what electrolyte disorder?
How can NSAIDS effect diuretics?
can decrease diuretic effect
clients taking furosemide should consume foods that are high in what?
What electrolyte beside potassium can lasix effect?
Ca, and MG
Ethacrynic acid (Edecrin)
What type of diuretic are these drugs?
High ceiling loop
Thiazide diuretic. work in distal convoluted tubule. blocks reabsroption of na chloride and water.
Promotes diuresis when there is no renal impairment.
Thiazide in drugn name means?
are what type of diuretics
What diuretics are often the medication of first choice for essential hypertension?
Thiazide diuretics aka HCTZ
Thiazide and High ceiling diuretics can do what to blood sugar?
can cause hyperglycemia
K sparing diuretic. Blocks the action of aldosterone (na and water retention) resulting in k retention and secretion of na and water.
What type of diuretic are these?
K sparing diuretics
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).
Who are k sparing diuretics contraindicated in?
people who have severe renal failure and anuria
Concurrent use with what drugs can cause hyper k?
What kind of food can contain k that is not a well known fact?
What k sparing diuretic can turn urine a bluish color?
Osmotic diuretics. Reduce intracranial pressure and IOP by raising serum osmolality and drwing fluid back into the vascular/extravascular space.
What effects does osmotic diuretics have on na?
promote sodium retention an water excretion in clients with hyponatremia and fluid volume excess
What are some adverse effects of Mannitol?
heart failure, renal failure and electrolyte imbalances
Use extreme caution when using Mannitol in clients with?
What would you be concerned about if a pt was taking mannitol and then started having dyspnea?
Indication that pt is developing hf!
What would you like to do?
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