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Indications for medications that affect urinary output
- management for blood pressure,
- excretion of edematous fluid related to heart failure,
- kidney and liver disease, and
- prevention of renal failure
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What are medications that affect urinary output?
- high ceiling loop diuretics
- thiazide diuretics
- potassium-sparing diuretics
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Most of all high ceiling loop diuretics end with ?
- ide
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High Ceiling Loop Diuretics: Drugs
- MOST END WITH -IDE
- Furosemide (Lasix)
- Ethacrynic Acid (Edecrin)
- Bumetanide (Bumex)
- Torsemide (Demadex)
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High Ceiling Loop Diuretics: Pharm Action
- Block reabsorption of Na and Cl
- Prevent reabsorption of H2O
- Extensive Diuresis
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High Ceiling Loop Diuretics: Use
- Hypercalcemia (high calcium levels)
- Rapid mobilization of fluid : pulmonary edema
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High Ceiling Loop Diuretics: Side Effects
- Dehydration,
- Hyponatremia
- Hypochloremia
- Hypokalemia (low potassium level)
- Hypotension
- Ototoxicity (ear damage)
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High Ceiling Loop Diuretics: Interventions
- Monitor Electrolytes,
- blood pressure,
- cardiac status.
- Report urine output less than 30mL and Potassium less than 3.5
- Postural hypotension: sit or lie down, avoid sudden changes in position.
- Hypokalemia (N/V, general weakness)
- Report tinnitus
- Avoid ototoxic medications
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High Ceiling Loop Diuretics: Contraindications
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High Ceiling Loop Diuretics: Interactions
- Digoxin (Lanoxin) toxicity if hypokalemia
- Antihypertensives - increase hypotension
- Lithium Carbonate - Hyponatremia decreases
- excretion NSAIDs - decreased effect
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High Ceiling Loop Diuretics: Administration
- Obtain the client/s baseline data to include orthostatic blood pressure, weight, electrolytes, and location and extent of edema
- Monitor BP and I/O
- Give meds in AM
- Encourange clients to consume foods high in potassium, such as avocados and strawberries
- Observe for signs of low magnesium levels such as muscle twitching and tremors
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High Ceiling Loop Diuretics: Effectiveness
- decrease in pulmonary or peripheral edema
- weight loss
- decrease in blood pressure
- increase in urine output
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