Cardio meds (loop diuretics, platelet aggregation inhibitors, potassium-sparing/combination diuretics, thiazides/related diuretics)

Question 1

Bumetanide

loop diuretics

Answer 1

purpose: tx of edema & CHF

Question 2

Furosemide

loop diuretics

Answer 2

purpose: tx of pulmonary edema, edema in CHF & other conditions & hypertension

Question 3

Clopidogrel

platelet aggregation inhibitors

Answer 3

purpose: risk reduction for stroke, MI, peripheral arterial disease in high risk patients, acute coronary syndrome, TIA & angina

Nurs con: -monitor blood studies in long-term therapy

• report signs of unusual bruising, bleeding; it may take longer to stop bleeding
• discontinue 5 days before elective surgery

Question 4

Ticlopidine HCL

platelet aggregation inhibitors

Answer 4

purpose: prevention of stroke in high-risk patients

Nurs con: -monitor blood studies with long term thearpy

• monitor for signs of cholestasis (jaundice, dark urine, light colored stools)
• avoid all OTC products unless approved by provider
• discontinue 10-14 days before surgery

Question 5

Hydrochlorothiazide/Triamterene

potassium sparing/combination diuretics

Answer 5

purpose: tx of edema & hypertension

Nurs con: -may increase BUN & serum creatinine

Question 6

Spironolactone

potassium sparing/combination diuretics

Answer 6

purpose: treatment of edema & hypertension and of primary hyperaldosteronism

Nurs con:

• diuresis onset 24-48 hours; peak 48-72 hours
• avoid food high in potassium; oranges, bananas, salt substitutes, dried apricots, dates
• monitor electrolytes
• contact provider if cramps, lethargy, menstrual abnormalities, deepening voice, breast enlargement

Question 7

Chlorthalidone

Thiazides/related diuretics

Answer 7

purpose: treatment of edema & hypertension

Nurs con: diuresis onset 2 hours, peak 6 hours, duration 24-72

Question 8

hydrochlorothiazide

Thiazides/related diuretics

Answer 8

purpose: treatment of edema & hypertension

Nurs con: -diuresis onset 2 hours, peak 4 hours, duration 6-12 hours
-hypersensitivity to sulfonamide

Question 9

indapamide

Thiazides/related diuretics

Answer 9

purpose: treatment of edema & hypertension

Question 10

Metolazone

Thiazides/related diuretics

Answer 10

purpose: treatment of edema & hypertension