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PT on Pyridium what do you warn about?
TURNS URINE ORANGISH RED
What Electrolytes do you monitor for a PT on a Potassium Sparing diuretic?
POTTASIUM LEVELS (3.5 - 5.0) NORMAL) IF ELEVATED HOLD DRUG CALL MD
If Pottasium is mildly elevated?
- HOLD DOSE CALL MD
- IF ELEVATED BY 6 OR MORE NOTIFY MD MAY ORDER KAYEXOLATE (replaces Potassium & Sodium)
PT on Macrodantin (nitrofurantoin / anti infectant) what are the S/E?
COUGH, CHEST PAIN, RAULS (pulmonary edema)
PT on any medication that has an upset stomach, what do you advice?
TAKE WITH FOOD OR MILK
What is the main S/E for NeGram (nalidixic acid)
If PT is on Mandelamine (Methenamine Hiprex) use cautiously in PT's with?
- GOUT & LIVER DISEASE
- FORMS CRYSTALS,
- URINE TURNS BLUE
PT is on Cipro (Bactrim) for a UTI in discharge Instructions what do you instruct?
INCREASE FLUIDS 3000 ml / DAY REPORT ANY SORE THROAT (strep)
What drig is Probanthine?
- NEUROGENIC BALDDER
- S/E: BLURRED VISION / VISUAL
What drug is HYDROCHLOROTHIZIDE?
A THIAZIDE DIURETIC (increases urine output)
How should a PT take a Diuretic Medication?
SAME TIME EVERYDAY IN THE AM
How do Loop Diuretics work?
BLOCK REABSORPTION OF WATER & CHLORIDE IN THE LOOP OF HENLEY
PT has acute Pyelonephritis, taking macrodantin (anti-infective) for 10 days, how do you know medication is effective?
WHEN WBC & BACTERIA LEVELS ARE DOWN
PT is on Hydrodiuril (Hydrochlorothiazide) to decrease B/P what does PT have to Take?
POTTASIUM SUPPLEMENT (or eat Banana & oranges)
If PT is taking Loop Diuretic (amino glycoside decreases sugar in Blood) monitor for what?
What is Bumex (diuretic)
A LOOP DIURETIC
What are the S/E to monitor for if PT on BUMEX?
PT has a UTI C/O dull abdominal pressure and dysuria (URGENCY & FREQUENCY) What should you give?
PYRIDIUM (for Pain)
What kind of activities could be assigned to a CNA?
CAREFUL MONITORING OF I/O
What Type of Diuretic should a PT with Glaucoma be on?
- OSMOTIC DIURETIC
- MANNITOL, GLYCEROL, DIAMOX (acetocolomide)
What is the Diuretic for a Cerebral Edema?
MANNITOL (osmotrol) - (if active bleeding do not give
PT Taking Lasix 40 mg/day for 6 month, C/O muscle weakness & Lethargy what lab Test do you order to monitor?
- causes HYPOKALEMIA
- BMP (basic metabolic panel), CHEM 7 or CMP (complete metabolic panel)
Male PT is getting Aldactone/Spiranolactone, what are the S/E?
GYNOCOMASTIA (enlarge breasts)
What Type of Drug is Aldactone?
POTASSIUM SPARING DIURETIC
PT not putting salt on food but says using a salt substitute is ok?
NO SHOULD USE A POTASSIUM CHLORIDE
PT taking any type of Diuretic, what do you monitor?
How should a PT take Bactrim?
ORALLY (PO) WITH 6-8 OZ H2O
What is the most serious S/E of Diuretics?
PT has Pulmonary Edema taking diurectics, how do you know its effective?
LUNG SOUNDS ARE DIMINISHED (no carckles)
80 mEq Potassium daily BID come in 5 ml? How many do you give?
20 ml dose (40 divided by 2) question order?
What Type of PT's need monitoring if on a Loop of Diuretics
DIABETICS (lower insulin levels increases glucose levels)
If PT has a glaucoma what drug is contraindicated?
What drug will cause HYPOKALEMIA?
What drug will cause HYPERKALEMIA?
PT is taking a diuretic C/O dry mouth, what do you do?
- OFFER HARD CANDY
- ICE CHIPS
PT on diuretic for Hypertension what will you see?
- B/P DOWN
- INCREASED URINE OUTPUT
- CLEAR LUNG SOUNDS
- INCREASED THIRST
What kind of Drug is Sandimmune?
- monitor for: infection, chills(fever) elevated pulse, flank pain, sore throat
When PT is having surgery on any part of Urinary system, we put them on a Phrophylactic antibiotics why?
TO PREVENT INFECTION COMING FROM THE NORMAL FLEURA
PT has a C-diffacile (CDIF) what medication?
FLAGYL (eat a lot of yogurt)
Talking about immunosupressants with PT. What is Immunosuppressants?
- (ANYTHING BUT BACTRIM)
- SANDIMMUNE (cyclosporine)
- CELLCEPT (mycophenolate)
- PROGRAF (tacrolimus)
Reading lab Results for a PT on Prograft (immunosupressant) what would tell you if PT has had an adverse reaction?
- ELEVATED WBC (5000 - 10000)
What Kind of Drug is Detrol
PT is incontinent has dementia Hx of Heart failure & HTN what S/E of Detrol are you concerned about?