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-pharm Final > Diruetics > Flashcards

Diruetics Flashcards

1
Q

what are the general side effects of Diuretics

A

Hypotension
Electrolyte imbalance
dizziness
weakness
HA

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2
Q

What drugs do we avoid when taking diuretics?

A

antacids, cough/f;u, NSAIDs (naprozen/Ibuprofen)

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3
Q

What drug class is Furosemide in?

A

Loop diuretic

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4
Q

what is the action of furosemide

A

inhibit sodium/chloride reabsorption in ascending loop of Henle

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5
Q

Why do we give furosemide?

A

CHF, edema, hepatic and renal disease (bc they lead to edema)

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6
Q

what do we monitor when administering furosemide

A

BUN/Cr

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7
Q

what are SE’s of furosemide?

A

ototoxicity, hearing loss and tinnitus

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8
Q

What are the contraindications in Furosemide

A

SULFA ALLERGY, anuria, pregnancy

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9
Q

when taking furosemide what should the pt notify the HCP about

A

muscle cramping, indicates Hypokalemia

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10
Q

What should we tell our pt to eat while on furosemide

A

bananas, potatoes, orang and orange juice (citrus)

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11
Q

what extra supplementation should be pt take while on furosemide

A

calcium

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12
Q

What drug class is hydrochlorothiazide in?

A

THIAZIDES

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13
Q

what is the action of hydrochlorothiazide

A

decreases absorption of Na, h2o, Cl, and bicarb in distal tubule

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14
Q

why do we give hydrochlorothiazide

A

mild HTN and heart failure

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15
Q

when are we cautious when administering Hydrochlorothiazide

A

renal disease (worsens it)
hepatic disease (causes electrolyte imbalance =hypokalemia, hepatic encephalopathy and death)

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16
Q

what are the SE’s of hydrochlorothiazide

A

HYPERGLYCEMIA. ERECTILE DYSFUNCTION, tinnitus, ototoxicity

17
Q

what are the contraindications of hydrochlorothiazide?

A

sulfa allergy

18
Q

What drug class is Spironolactone?

A

Potassium sparing

19
Q

what is the action of Spiranolactone?

A

Mineralcorticoid receptors and blocks the effect of aldosterone

20
Q

why do we give Spironolactone

A

heart failure, ascites, hypokalemia, HTN and hyperaldosteronsim

Can also treat PCOS

21
Q

what are the SE’s of Spironolactone?

A

deepening of voice, gynecomastia, menstrual irregularities, testicular atrophy (due to androgen receptors)
Increased risk of gastric ulcers, HA, abdominal cramping, diarrhea

22
Q

Potassium Pumps Muscles which can cause what cardiac issues?

A

peaked t waves, st elevation and lead to dysrhytmias
muscle cramping

-pharm Final (14 decks)

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