Chapter 29 Flashcards

1
Q

What do diuretics do

A

Make urine faster and void it more often

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2
Q

When would we give a diuretic

A

Heart failure
Fluid overload
High blood pressure
Prevent kidney damage

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3
Q

When we give a diuretic what two things get removed from the body

A

Sodium
Water

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4
Q

What is the least potent diuretic to the most potent diuretic

A

Thiazide
Potassium sparing
Osmotic
Loop
Carbonic anhydrase inhibitors

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5
Q

Do all diuretics act on one site of the kidney or different sites

A

Different sites

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6
Q

When is the best time to give a diuretic

A

In the morning

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7
Q

What carbonic anhydrase inhibitor diuretic is commonly used for glaucoma

A

Acetazolamide

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8
Q

When should you not give acetazolamide

A

Hyponatremia
Hypokalemia

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9
Q

Low potassium levels do what to the heart

A

Dysrhythmia

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10
Q

Acetazolamide should not be given with what drug because it increases it’s toxicity

A

Digoxin

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11
Q

If someone is allergic to sulphonamide antibiotics they should not take which diuretic

A

Furosemide

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12
Q

What diuretic often needs a potassium supplement to be given

A

Loop diuretics

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13
Q

What type of meds impact blood pressure

A

Diuretics

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14
Q

What type of diuretic can cause low WBC, platelets, sodium, potassium

A

Loop diuretics

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15
Q

What drug should not be given with loop diuretics because it will cause it to not work

A

NSAIDs

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16
Q

Loop diuretics increase the toxicity of which drug

17
Q

What diuretic should avoid sun exposure

A

Loop diuretic

18
Q

What type of diuretic is used to pull fluid out of the cerebral tissue

19
Q

What diuretic causes thrombophlebitis and convulsions

20
Q

What diuretic can only be given by IV infusion

21
Q

What diuretic can form crystals if exposed to low temperatures

22
Q

Potassium sparing diuretics do what to potassium levels

A

Should not alter them but can cause hyperkalemia

23
Q

What diuretic has cardio protective effects

A

Spironolactone

24
Q

Spironolactone should not be given with what drug because it will cause hyperkalemia

A

ACE inhibitors

25
At what level of potassium should Spironolactone be held
Greater than 5.5
26
What diuretic can cause gynecomastia, amenorrhea, irregular menses
Spironolactone
27
Spironolactone should not be given with what drug
Lithium
28
HCTZ is the abbreviation for which diuretic
Hydrochlorothiazide
29
Thiazides cannot be used when the creatinine clearance is less than
30-50 ml/min
30
What diuretic can be given even when creatinine clearance is low
Loop
31
What diuretic has a ceiling effect
Hydrochlorothiazide
32
What diuretic causes increase fall risk for elderly
Hydrochlorothiazide
33
What does the nurse need to do before giving a diuretic
BP Weight Electrolytes
34
What foods are high in potassium
Bananas Oranges Dates Apricots Raisins Broccoli Green beans Potatoes Tomatoes Meats Fish Wheat bread Legumes
35
Excessive consumption of what food can increase hypokalemia when taking diuretics
Licorice