Meds--Urinary

Question 1

Diuretics (traditional)

Answer 1

(furosemide)–loop
(hydrochlorothiazide)–thiazide
(spironolactone)–K+ sparing–No salt substitutes
S/E: Toxicities (oto-, dig-, lithium-), Hypo (Na+, K+), Hyper (glycemia)

Question 2

Diuretics (osmotic)–Uses

Answer 2

(mannitol)

Uses: ICP, intraocular P, prevent renal fail d/t hypovol

Question 3

Meds to Tx: Urinary hesitancy

Answer 3

alpha-adrenergic blockers
(tamsulosin)
Tx: BPH
S/E: decreased libido/ejaculation

Question 4

Meds to Tx: Overactive bladder–S/E, Nx considerations

Answer 4

anticholinergic meds
(oxybutynin)
(solifenacin = Vesicare)
S/E: anticholinergic
Nx: may take 1-2 mo. to take effect

Question 5

Meds to Tx: Sexual dysfunction–Contraindications

Answer 5

(sildenafil)
Nx: men/women, admin 1 hr b4 sex & not > 1x/day
Contra: nitrates, antiHTN, anticoags, alpha blockers 4 BPH