Card Set Information
Thiazide diuretic drugs
hydrochlorothizide (HydroDIURIL) HCTZ
Thiazide Diuretic information?
: works on distal convoluted tubule
: edema, HTN
: anuria, severe renal failure, pregnancy
: hypotension, hypokalemia, hyperglycemia in the diabetic
: w/ digoxin=cardiac arythimia, w/ lithium= lithium toxicity
Loop diuretic info?
: loop of Henle
indications; htn,chf, cirrhosis
contraindications; anuria, electrolyte imbalance, infancy and pregnancy
adverse reactions; dehydration, postural hypotension, dizziness, hypokalemia
Potassium-sparing diuretic info?
action; distal tubule and collecting duct
indications; chf, htn, hyperaldosteronism
contraindications; severe kidney disease, hyperkalemia
adverse reactions; hyperkalemia, gynecomastia in males
drug interactions; dont use salt substitute, increase hyperkalemia if taken with ace inhibitors or indocin
osmotic diuretic drugs?
osmotic diuretic info?
action; proximal convoluted tubule
indication; cerebral edema
contraindications; severe chf, intracranial bleeding
adverse reactions; tachycardia, blurred vision
carbonic anhydrase inhibitors drugs?
carbonic anyhdrase inhibitor info?
actions; proximal convoluted tubule, decrease production of aqueous humor
indication; treats glaucoma
contraindications; narrow-angle glaucoma, addisons disease (too much cortisol)
adverse reactions; numbness and tingling, photosensitivity
What are diuretic nursing implications?
teach to take oral diuretic in the am
check bp, I&O, weight, degree of edema
report worsening edema
enc fluids unless restricted
teach to rise slowly due to low bp
check bs for thiazide hyperglacemia
k+ level (norm 3.5-5.0)
check for signs of hypokalemia(muscle weakness, leg cramps, cardiac arrhythmias
enc k+ rich foods
trimethoprim/sulfamethoxazole (bactrim, septra)
sulfonamide drug info?
indications; treats uti
contraindications; strep a
: skin rash, photosensitivity, blood disorder
interactions; decrease effect of digoxin, oral contraceptives, incerease effect of coumadin, oral hypoglycemics
NI; monitor temp, push fluids, avoid direct sunlight, avoid caffeine/ makes uti sx worse
entire med unless rash, fallow up c&s
urinary antiseptic drugs
urinary antiseptic info?
: bactericidal, bacteriostatic
indications; acute and chronic uti that are resistant to sulfonamides
contraindications; anuria, renal failure, pregnancy
adverse reactions; n/v, diarrhea, skin rash, ha, crystalluria, macrodantin=brown urine, pulmonary reactions
NI; monitor temp, push fluids to prevent crystals, entire med, fallow up c&S
urinary analgesic drugs?
urinary analgesic info?
action; topical analgesic effect on urinary tract
indications; relieves painful urination
contraindications; renal or hepatic disease
adverse reactions; bright orange urine
NI; take 2-3 days
indications; urinary retention after surgery, treats neurogenic bladder
adverse reactions; hypotension, sweating, increase salivation
contraindications; urinary obstruction
NI; palpate for distension
monitor abilty to void
treat overdose with atropine
Urinary antispasmodic drugs?
tolterodine tartrate (detrol)
urinary antispasmodic info?
action; relaxes bladder smooth muscles
indications; bladder spasms,urinary urgency, stress incontinence
contraindications; urinary obstruction, glaucoma
adverse reactions; dry mouth, constipation, decrease sweating
interactions; don't take with anticholinergics or cns depressants
NI; palpate for distention, monitor ability to void