Medications Affecting the Genitourinary System Flashcards

1
Q

What do loop diuretics treat

A

hypertension
edema
-may be used to treat hypercalcemia

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2
Q

What are Loop Diuretics secondarily used for

A

treat congestive heart failure

-renal insufficiency

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3
Q

What patients are Loop Diuretics effective in

A

impaired kidney function

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4
Q

Loop Diuretics medications

A
  • furosemide
  • torsemide
  • bumetanide
  • ethacrynic acid
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5
Q

What will occur the first time taking a Loop Diuretics

A

large diuresis within 1 hour of taking medication

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6
Q

Side effects of Loop Diuretics

A
  • dizziness
  • syncope
  • postural hypotension
  • hypotension
  • ototoxicity
  • syncope (loss of consciousness)
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7
Q

Electrolyte imbalance that may occur while taking Loop Diuretics

A
  • hypokalemia
  • hyponatremia
  • hypocalcemia
  • hypomagnesemia
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8
Q

What may occur when taking Loop Diuretics with an NSAID and ACE inhibitor

A

renal failure

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9
Q

What should be monitored when taking Loop Diuretics

A

potassium level, if it drops the patient will need to start taking potassium supplements

  • teach pt to eat high potassium diet
  • I&O
  • V/S
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10
Q

What should you teach a patient to avoid when taking a Loop Diuretics

A
orthostatic hypotension 
(rise slowly)
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11
Q

What signs should you notify the provider when taking Loop Diuretics

A
  • headache

- chest, calf, pelvic pain occur

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12
Q

Types of Thiazide Diuretics

A
  • hydrochlorothiazide
  • chlorothiazide
  • methylclothiazide
  • indapamide
  • chlorthalidone
  • metolazone
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13
Q

Side effects of Thiazide Diuretics

A
  • loss of appetitie
  • upset stomach
  • headache, weakness
  • blurred vision
  • itching
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14
Q

Electrolyte imbalances of Thiazide Diuretics

A
  • hypokalemia
  • hyperglycemia
  • dehydration
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15
Q

Interactions with Thiazide Diuretics

A

digoxin can increase the risk of hypokalemia

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16
Q

Reinforced teaching of Thiazide Diuretics

A
  • high potassium diet

- take diuretic first thing in the morning

17
Q

How does Potassium-Sparing Diuretics differ from loop and thiazide diuretics

A

does not reduce potassium levels, there is a risk of hyperkalemia

18
Q

Manifestations of hyperkalemia

A
  • irregular heartbeat
  • confusion
  • numbness, nervousness
  • weakness or heavy feeling in the legs
  • breathing problems
  • unusual tiredness
19
Q

Example of Potassium-Sparing Diuretics

A

Spironolactone

20
Q

What are osmotic diuretics

A
  • prevents kidney failure during hypovolemic shock
  • decreases ICP
  • promotes sodium retention
21
Q

Side effects of osmotic diuretics

A
  • HF

- kidney failure