Diuretics: Nursing Considerations

Question 1

• Use cautiously in the elderly.
• Use cautiously in patient with renal disease.
• Confirm patient does not have anuria before administration. Hold for anuria and consult provider.
• Monitor potassium level.
• Assess for hypotension
• Assess for dehydration
  o Avoid rapid IV infusion-linked to ototoxicity

Answer 1

Diuretics: general classification

Question 2

Promote/Teach intake of potassium rich foods (bananas, oranges, potatoes, leafy green vegetables to name a few).

Answer 2

Loop Diuretics & Thiazide Diuretics

Question 3

• Monitor/Hold for hyperkalemia and consult provider.
• Teach: Avoid salt substitutes and excessive amounts of foods that are rich in potassium.

Answer 3

Potassium-Sparing Diuretics