Renal Medications

Question 1

List the 3 Types of Diuretics.

Answer 1

1. Loop Diuretics
2. Thiazide Diuretics
3. Potassium-Sparing Diuretics

Question 2

List 1 Example of a Loop Diuretic.

Answer 2

1. Furosemide

Question 3

What is the Schedule, MOA, Indication and Nursing Considerations of Furosemide?

Answer 3

Schedule: 4
MOA: inhibits the reabsorption of Na, Cl and K+ ions
Indications: Oedema
NC: monitor BP before and after, monitor fluid balance, electrolytes and kidney function, avoid taking at night, and take K+ supplements

Question 4

List 1 Example of a Thiazide Diuretic.

Answer 4

1. Hydrochlorothiazide

Question 5

What is the Schedule, MOA and Nursing Considerations of Hydrochlorothiazide?

Answer 5

Schedule: 8
MOA: inhibits the NaCl reabsorption from the distal tubules of the nephron
NC: monitor BP before and after, monitor fluid balance, electrolytes and kidney function, avoid taking at night, and avoid getting up too fast

Question 6

List 1 Example of a Potassium-Sparing Diuretic.

Answer 6

1. Spironolactone

Question 7

What is the Schedule, MOA and Nursing Considerations of Spironolactone?

Answer 7

Schedule: 4
MOA: inhibits the action of aldosterone in the distal tubules of the nephron
NC: monitor BP before and after, monitor fluid balance, electrolytes and kidney function, avoid taking at night

Question 8

List 3 Classes of Urine pH and Composition Medications.

Answer 8

1. Urinary Alkalisers
2. Urinary Acidifiers
3. Agents used to reduce Uric Acid Production

Question 9

List 2 Examples of Urinary Alkalisers.

Answer 9

1. Sodium Bicarbonate
2. Potassium Citrate

Question 10

What is the MOA and Nursing Considerations or Urinary Alkalisers?

Answer 10

MOA: raise pH of urine
NC: check renal function before administration, use with caution in people with HR or RF

Question 11

List 1 Example of Urinary Acidifiers.

Answer 11

1. Ascorbic Acid

Question 12

What is the MOA and Nursing Considerations of Urinary Acidifiers?

Answer 12

MOA: lowers pH of urine
NC: monitor blood pH, use with caution in people with HF or lung disease

Question 13

List 1 Example of an Agent used to Reduce Uric Acid Production.

Answer 13

1. Allopurinol

Question 14

What is the MOA, Indications and Nursing Considerations of Agents used to Reduce Uric Acid Production?

Answer 14

MOA: xanthine oxidase inhibitor
Indications: hyperuricemia uric acid stones, gout
NC: monitor uric acid levels, use with caution in people with RF