Diuretics Flashcards
Diuretics to Know
Furosemide
Hydrochlorothiazide
Spironolactone
Mannitol
Common uses
- Pulmonary (right sided heart failure) & peripheral (left sided heart) Edema
- Hypertension
- Heart failure
Diuretics work in the _______ of the glomerulus.
Ascending loop of Henle
Common themes
Dehydration
Hypotension (orthostatic)
Electrolyte imbalances
Nocturia (take before 1400)
Furosemide
ONLY for edema and heart failure
Hypokalemia is a major issue
Teach clients signs of hypokalemia and to eat potassium rich foods
Ototoxicity
Hypokalemia
Decreased K+ Muscle weakness tired cramps dysrhythmias faint N/V
What are K+ rich foods?
raisins green leafy veggies spinach citrus fruits bananas baked potatoes sweet potatoes oranges apricots cantaloupe
Hydrochlorothiazide
Initial drug of choice for hypertension
Hypokalemia is a major issue
NOT ototoxic
Spironolactone
K+ sparing diuretic (be careful of eating too many)
Avoid potassium rich food & salt substitutes (made with K+)
Mannitol
Reduces intracranial pressure
watch out for crystallization ( keep warm & use filters)
You should not give diuretics at night? T/F
True
Furosemide is the drug of choice for rapid relief of ______or ________.
edema
heart failure