Pharm 32

Question 1

Inhibits reabsorption of sodium and chloride in the ascending portion of the loop of henle

Answer 1

Loop diuretics

Question 2

Loop diuretics (potassium wasting)
SATA 3

Answer 2

Bumetanide (Bumex)
Furosemide(Lasix)
Torsemide

Question 3

Thiazides & related diuretics (3)

Answer 3

Chlorothiazide (Diuril)
Hydrochlorothiazide
Metolazone

Question 4

Diuretics that will cause potassium to be excreted in urine causing client to become Hypokalemic

Answer 4

Loop & thiazides

Question 5

Reduce secretion of potassium from kidney

Answer 5

Potassium sparing

Question 6

Increase density of filtrate in glomerulus, this prevents selective reabsorption of water & passes out as urine

Answer 6

Osmotic

Question 7

Sulfonamides with out bacterioststic action that inhibit carbonic anhydrase

Answer 7

Carbonic anhydrase inhibitors

Question 8

Carbonic anhydrase excretes
SATA 4

Answer 8

Sodium
Potassium
Bicarbonate
Water

Question 9

Thiazide and loop precautions
SATA 3

Answer 9

Gout
Liver disease
Diabetes

Question 10

Diuretic contraindications
SATA 4

Answer 10

Sensitivity to drug
Electrolyte imbalances
Severe liver or kidney dysfunction
Anuria

Question 11

NSAIDS
SATA 9

Answer 11

Ibuprofen (advil,Motrin)
Ketorolac
Meloxicam
Naproxen(aleve,naprosyn)
Tolmetin

Question 12

Salicylates
SATA 7

Answer 12

Asprin(acetylsalicylic acid)
Bayer
Ecotrin
Bufferin
Diflunisal
Magnesium salicylate

Question 13

Food with highest potassium
SATA 11

Answer 13

White beans
Dark leafy greens
Dried apricots
Salmon
Bananas
Oranges
Nectarines
Peaches
Apricots
Brussels sprouts
Asparagus

Question 14

Potassium sparing diuretics (potassium saving)
Generic & trade

Answer 14

Spirinolactone (aldactone)

Question 15

Osmotic diuretics
Generic & trade

Answer 15

Mannitol (osmitrol)

Question 16

Carbonic anhydrase inhibitors
1

Answer 16

Acetazolamide

Question 17

Hyperkalemia most likely in (5)

Answer 17

Inadequate fluid intake & output
Diabetes
Renal disease
Older adults
Severely ill

Question 18

Mannitol (osmotic diuretic) is contraindicated in

Answer 18

Clients w active intracranial bleeding (except during craniotomy)

Question 19

Potassium-sparing diuretics are contraindicated in clients with

Answer 19

Hyperkalemia & not recommended for peds

Question 20

Loop diuretics taken with aminoglycosides (-mycin)

Answer 20

Increase risk of ototoxicity and neurotoxicity

Question 21

Loop diuretics with hydantoins (Dilantin)

Answer 21

Decreased diuretic effectiveness

Question 22

Loop diuretics with NSAIDS/salicylates

Answer 22

Decreased diuretic effectiveness

Question 23

Potassium sparing diuretics with ACE inhibitors (-prils)

Answer 23

Increased risk of hyperkalemia

Question 24

Thiazides with antidiabetic

Answer 24

Hyperglycemia - monitor glucose!

Question 25

If issue maintaining potassium, may use these diuretics

Answer 25

Potassium-sparing (spironolactone,aldactone)
Osmotic diuretics
(mannitol,osmitrol)
Carbonic anhydrase inhibitors
(Acetazolamide)

Question 26

Normal sodium level

Answer 26

132-145

Question 27

Normal magnesium level

Answer 27

1.5-2.5

Question 28

Normal potassium level

Answer 28

3.5-5

Question 29

S&S of hypokalemia
SATA 3

Answer 29

Anorexia
Depression
Drowsiness

Question 30

S&S of hyperkalemia

Answer 30

Muscle cramps

Question 31

S&S of hyponatremia (7)

Answer 31

Cold,clammy skin
Decreased skin turgor
Confusion
Hypotension
Irritability
Tachycardia
Dehydration

Question 32

Most common adverse reaction associated with the administration of a diuretic

Answer 32

Loss of fluid & electrolytes especially during initial therapy

Question 33

Warning signs of fluid & electrolyte imbalance (6)

Answer 33

Dry mouth
Thirst
Weakness
Muscles pains/cramps
Confusion
Tachycardia

Question 34

For clients who take potassium-sparing diuretics avoid (2)

Answer 34

Eating foods high in potassium
Use of salt substitutes

Question 35

For clients who take thiazide diuretics, these agents may cause

Answer 35

Gout attacks