Diruetics Flashcards
what are the general side effects of Diuretics
Hypotension
Electrolyte imbalance
dizziness
weakness
HA
What drugs do we avoid when taking diuretics?
antacids, cough/f;u, NSAIDs (naprozen/Ibuprofen)
What drug class is Furosemide in?
Loop diuretic
what is the action of furosemide
inhibit sodium/chloride reabsorption in ascending loop of Henle
Why do we give furosemide?
CHF, edema, hepatic and renal disease (bc they lead to edema)
what do we monitor when administering furosemide
BUN/Cr
what are SE’s of furosemide?
ototoxicity, hearing loss and tinnitus
What are the contraindications in Furosemide
SULFA ALLERGY, anuria, pregnancy
when taking furosemide what should the pt notify the HCP about
muscle cramping, indicates Hypokalemia
What should we tell our pt to eat while on furosemide
bananas, potatoes, orang and orange juice (citrus)
what extra supplementation should be pt take while on furosemide
calcium
What drug class is hydrochlorothiazide in?
THIAZIDES
what is the action of hydrochlorothiazide
decreases absorption of Na, h2o, Cl, and bicarb in distal tubule
why do we give hydrochlorothiazide
mild HTN and heart failure
when are we cautious when administering Hydrochlorothiazide
renal disease (worsens it)
hepatic disease (causes electrolyte imbalance =hypokalemia, hepatic encephalopathy and death)
what are the SE’s of hydrochlorothiazide
HYPERGLYCEMIA. ERECTILE DYSFUNCTION, tinnitus, ototoxicity
what are the contraindications of hydrochlorothiazide?
sulfa allergy
What drug class is Spironolactone?
Potassium sparing
what is the action of Spiranolactone?
Mineralcorticoid receptors and blocks the effect of aldosterone
why do we give Spironolactone
heart failure, ascites, hypokalemia, HTN and hyperaldosteronsim
Can also treat PCOS
what are the SE’s of Spironolactone?
deepening of voice, gynecomastia, menstrual irregularities, testicular atrophy (due to androgen receptors)
Increased risk of gastric ulcers, HA, abdominal cramping, diarrhea
Potassium Pumps Muscles which can cause what cardiac issues?
peaked t waves, st elevation and lead to dysrhytmias
muscle cramping