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NCLEX: Pharmacology > Renal System Medications > Flashcards

Renal System Medications Flashcards

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1
Q

Urinary tract stimulant indicated for non-obstructive urinary retention

A

Bethanechol (Urecholine)

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2
Q

Bethanechol (Urecholine) side effects

A

Cholinergic symptoms (salivation, lacrimation, urination, defecation)

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3
Q

Bethanechol (Urecholine) administration

A

1 hour before or 2 hours after meals to minimize N/V

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4
Q

Urinary tract antispasmodic indicated for an overactive bladder (urgency, nocturia)

A

Oxybutynin (Ditropan)

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5
Q

Side effects of oxybutynin (Ditropan)

A

Anticholinergic effects

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6
Q

Phenazopyridine (Pyridium) is a urinary tract analgesic indicated for the treatment of

A

Symptoms of UTI (burning, pain, frequency, urgency)

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7
Q

Phenazopyridine (Pyridium) side effects

A

Orange/red discoloration of urine (warn pt about possible staining of clothes, bedding, and soft contact lenses)

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8
Q

Furosemide (Lasix) is an example of a _________ diuretic

A

Loop

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9
Q

Furosemide (Lasix) side effects

A

Dehydration, electrolyte imbalances — hyponatremia, hypokalemia, hypotension, ototoxicity, hyperglycemia, rash

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10
Q

Furosemide (Lasix) and Hydrocholorthiazide (Microzide) patient education

A

Administer before 5 pm (prevent disruption of sleep), eat foods high in potassium (bananas, dark leafy greens, potatoes, cantaloupe, avocado, tomatoes)

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11
Q

Furosemide (Lasix) and Hydrocholorthiazide (Microzide) nursing considerations

A

Weight patients daily, monitor I&Os, monitor electrolytes

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12
Q

Furosemide (Lasix) infusion rate

A

20 mg/min

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13
Q

Hydrocholorthiazide (Microzide) is an example of a _________ diuretic

A

Thiazide

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14
Q

Hydrocholorthiazide (Microzide) side effects

A

Dehydration, hypokalemia, hyponatremia

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15
Q

Spironolactone (Aldoctone) is an example of a

A

Potassium-sparing diuretic

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16
Q

Spironolactone (Aldoctone) side effects

A

Hyperkalemia, amenorrhea, gynecomastia, impotence

17
Q

Spironolactone (Aldoctone) nursing consideration

A

Monitor potassium levels

18
Q

Spironolactone (Aldoctone) patient education

A

Avoid salt substitutes containing potassium

19
Q

Osmotic diuretic indicated for edema, increased intracranial pressure (ICP), and increased intraocular pressure (IOP)

A

Mannitol (Osmitrol)

20
Q

Mannitol (Osmitrol) side effects

A

HF, pulmonary edema, renal failure, dehydration, electrolyte imbalances (Na, K), phlebitis

21
Q

Mannitol (Osmitrol) nursing considerations

A

Monitor weight, I&Os, and electrolytes; evaluate effectiveness of med by assessing expected ranges of ICP and IOP

22
Q

ICP expected range

A

10-15 mmHg

23
Q

IOP expected range

A

10-21 mmHg

NCLEX: Pharmacology (11 decks)

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