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DIURETIC DRUGS

Diuretic Drugs And Nursing Interventions
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Side ASide B
5 types of DIURETICS
1.carbonic anhydrase inhibitors 2. loop diuretics 3.osmotic diuretics 4.potassium-sparing...
hypertension may be treated by giving an antihypertensive drug and what 2 types of diuretics?
loop diuretics & thiazides and related diuretics
CARBONIC ANHYDRASE INHIBITORS
-sulfonamides w/ nonbacteriostatic action. -carbonic anhydrase enzyme makes free H ions. -excretes...
ACETAZOLAMIDE (Diamox)
Carbonic Anhydrase Inhibitor *glaucoma,edema,epilepsy. onset 1-2hrs for8-12hrs
FUROSEMIDE (Lasix)
Loop Diuretic *HTN,edema,cirrhosis,renal disease
LOOP DIURETICS
Lasix:^Na+Cl excretion>>inhibits reabsorption in distal&proximal tubules & in loop of Henle....
BUMETANIDE (Bumex)
Loop Diuretic (PO IV IM) *CHF+pulmonary edema, cirrhosis, renaldisease. onset 30-60min for...
OSMOTIC DIURETICS
- ^ the density of the filtrate in the glomerulus, prevents selective reabsorption of water>>H2O,Na,Cl...
MANNITOL (Osmitrol)
Osmotic Diuretic (IV) *renal failure, IOP,cerebral edema,irrigation contraindicated: active...
POTASSIUM-SPARING DIURETICS
-saves K -Spironolactone:blocks aldosterone activity=blocks Na reabsorption@distaltubule>>Na+H2O...
SPIRONOLACTONE (Aldactone)
Potassium-Sparing Diuretics *HTN,edema,cirrhosis,renal disease. men may develop gynecomastia
THIAZIDES & RELATED DIURETICS
-inhibits Na+Cl reabsorption in ascending LoopofHenle & early distal tubule>> Na,Cl,H2O excreted....
CHLOROTHIAZIDE (Diuril)
Thiazide & related diuretics (PO IV) *HTN,edema,cirrhosis,corticosteroid & estrogen therapy
HYDROCHLOROTHIAZIDE (HydroDIURIL)
Thiazide & related diuretics *HTN,edema,cirrhosis,corticosteroid & estrogen therapy
Uses of DIURETICS (4)
1.Edema(CHF, cirrhosis, corticosteroid/ estrogen therapy, cerebral). 2.HTN 3.Renaldisease...
Diuretics contraindications
hypersensitivity, electrolyte imbalances, sever kidney or liver dysfunction, and anuria.
use thiazide & loop diuretics cautiously in pts with...
liver disease, diabetes, lupus erythematosus, or diarrhea. sensitivity reaction to sulfonamides.
use potassium-sparing diuretics cautiously in pts with...contraindicated in pts with...
liver disease, diabetes, gout... hyperkalemia & not recommended for children
NSAIDS & salicylates + potassium-sparing or loop diuretics = ...
decreased diuretic effectiveness
antidiabetic drugs + thiazides & related diuretics = ...
hyperglycemia
DIURETIC PREADMINISTRATION ASSESSMENT
-vital signs + weight + currentLab (serum electrolytes) -peripheral edema -pain -epilepsy:...
DIURETIC ONGOING ASSESSMENT
-measure and record I&O -weight -frequent serum electrolyte, uric acid, liver & kidney function...
PT w/ EDEMA (chf)
-daily weight (-2lbs/day desirable) -record I&O q8hrs -vitals q4hrs -examine edema qd
PT w/ INCREASED INTRACRANIAL PRESSURE
-Mannitol IV check solution, low temp=crystallized -urine output qh, should be at least 30-50mL -vitals...
diabetes mellitus + loop or thiazide diuretics = ...
blood glucose values may be elevated, urine may test positive for glucose. call DR.


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