Medications Affecting Urinary Output - High Ceiling Loop Diuretics

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  1. 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
  2. What are medications that affect urinary output?
    • high ceiling loop diuretics
    • thiazide diuretics
    • potassium-sparing diuretics
  3. Most of all high ceiling loop diuretics end with ?
    - ide
  4. High Ceiling Loop Diuretics: Drugs
    • Furosemide (Lasix)
    • Ethacrynic Acid (Edecrin)
    • Bumetanide (Bumex)
    • Torsemide (Demadex)
  5. High Ceiling Loop Diuretics: Pharm Action
    • Block reabsorption of Na and Cl
    • Prevent reabsorption of H2O
    • Extensive Diuresis
  6. High Ceiling Loop Diuretics: Use
    • Hypercalcemia (high calcium levels)
    • Rapid mobilization of fluid : pulmonary edema
  7. High Ceiling Loop Diuretics: Side Effects
    • Dehydration,
    • Hyponatremia
    • Hypochloremia
    • Hypokalemia (low potassium level)
    • Hypotension
    • Ototoxicity (ear damage)
  8. 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
  9. High Ceiling Loop Diuretics: Contraindications
    • Pregnancy
    • Diabetes
    • Gout
  10. High Ceiling Loop Diuretics: Interactions
    • Digoxin (Lanoxin) toxicity if hypokalemia
    • Antihypertensives - increase hypotension
    • Lithium Carbonate - Hyponatremia decreases
    • excretion NSAIDs - decreased effect
  11. 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
  12. High Ceiling Loop Diuretics: Effectiveness
    • decrease in pulmonary or peripheral edema
    • weight loss
    • decrease in blood pressure
    • increase in urine output
  13. Furosemide
  14. Bumetanide
  15. Ethacrynic Acid
  16. Torsemide
Card Set
Medications Affecting Urinary Output - High Ceiling Loop Diuretics
high ceiling loop duiretics
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