Diuretic Medication

Question 1

Name 2 Loop Diuretics

Answer 1

1. Furosemide (Lasix)

2. Bumex

Question 2

Loop Diuretic mechanism of action

Answer 2

Prevents reabsorption of Na= in the loop of Henle

Question 3

Loop Diuretics Tx

Answer 3

1. Edema associated c HF
2. Hepatic cirrhosis
3. Chronic renal failure

Question 4

Loop Diuretic Adverse Effects

Answer 4

1. Dehydration
2. Electrolyte imbalance
3. Hypotension
4. K+ depletion
5. Ototoxictity*
6. Tinnitis*

Question 5

Loop Diuretics Contraindication

Answer 5

1. Lanoxin
2. Other meds cause ototoxicity
3. Hypotension
4. Bradycardia
5. Hypokalemia*

Question 6

Loop Diuretics Implications

Answer 6

1. Works in 5 minutes
2. DO NOT give c electrolyte depletion
3. Monitor I&O*
4. Monitor uric acid levels & gout symptoms*

Question 7

Name 2 Thiazide Duiretics

Answer 7

1. Hydrochlorothaizide

2. metolazone

Question 8

Thiazide Mechanism of Action

Answer 8

1. Blocks Na+ reabsorption in distal tubule

2. Increases K+ & water excretion

Question 9

Thiazide Tx

Answer 9

1. Mid-Moderate HTN
2. Edema due to HF
3. Liver failure
4. Renal failure

Question 10

Thiazide Adverse Effects

Answer 10

1. Dehydration

2. Electrolyte imbalances

Question 11

Thiazide Contraindication

Answer 11

1. Hypokalemia*

2. Severe hepatic & Renal failure

Question 12

Thiazide Implications

Answer 12

1. Monitor pt taking Lanoxin for dysrhythmias, N/V, visual changes
2. May raise BG

Question 13

Name 2 K+ sparing diuretic

Answer 13

1. Spirolactone

2. Triamterene

Question 14

K+ sparing Contraindication

Answer 14

1. Hyperkalemia

Question 15

K+ sparing Implications

Answer 15

1. DO NOT take ACE inhibitors

Question 16

Name 2 Combination Diuretics

Answer 16

1. HCTZ

2. Triameterene

Question 17

Combo diuretic Contraindication

Answer 17

1. Photosensativity

Question 18

Name 1 Antispasmic

Answer 18

1. Ditropan

Question 19

Antispasmic mechanism of action

Answer 19

1. PNS action to relax bladder muscle & increase holding capacity
2. Anesthetic effect on the bladder mucosa (Changes urine red-orange)

Question 20

Antispasmotic Tx

Answer 20

1. Dysuria (painful urination), urgency nocturia

2. TURP surgery (BPH) pregnancy- anticholinergic

Question 21

Antispasmics Adverse Effects

Answer 21

1. Headache
2. Dizziness
3. Restlessness
4. N/V
5. Dry mouth
6. Heart palpatations
7. Tachycardia
8. Urinary retention
9. Renal Stones/Renal failure

Question 22

Antispasmics Contraindication

Answer 22

1. Narrow angle glaucoma
2. Myasthenia Gravis
3. CAD
4. GI bleeding/Motility issues

Question 23

Antispasmics Implication

Answer 23

1. Watch for GI distress
2. Watch for signs of liver failure
3. Watch I&O