Urinary Medications Flashcards
Loop diuretic medications (2)
- Furosemide
- Bumetanide
Thiazide diuretic medications (2)
- Hydrochlorothiazide
- Chlorothiazide
Potassium sparing diuretic medications (2)
- Spironolactone
- Triamterene
Diuretic use (3)
- Pulmonary edema from heart failure
- Edema that doesn’t resolve with other diuretics
- HTN unaffected by other diuretics
Diuretic precautions (3)
- Use caution with diabetic patients
- Can’t be used during pregnancy
- NSAIDS reduce effectiveness
Loop/thiazide side/adverse effects (7)
- Hypovolemia
- Ototoxic (loop)
- Hypokalemia
- Hyponatremia
- Hyperglycemia
- Digoxin toxicity
- Lithium toxicity
Potassium sparing side/adverse effects (2)
- Hyperkalemia
- Endocrine effects (impotence, menstrual problems)
Nursing interventions for diuretics (6)
- Monitor I&O’s
- Monitor vitals
- Monitor fluid/electrolytes
- Give early in the morning
- Patients taking loop/thiazide diuretics should increase potassium intake
- Patients taking potassium sparing diuretics should decrease potassium intake/salt subs
Osmotic diuretics action
Pull fluid back into vascular/extravascular space by increasing serum osmolality to promote osmotic changes
Osmotic diuretic medication
Mannitol
Therapeutic use of osmotic diuretic (3)
- Prevent renal failure related to hypovolemia
- Decrease ICP
- Decrease intraocular pressure
Precautions for osmotic diuretics
Caution in patients with heart failure
Side/adverse effects of osmotic diuretics (3)
- Pulmonary edema
- Fluid/electrolyte imbalances
- Thirst, dry mouth
Nursing interventions for osmotic diuretics (3)
- Monitor daily weight, I&O’s, electrolytes
- Monitor for signs of hypovolemia
- Monitor for neuro status
Alpha adrenergic blockers urinary hesitancy medications (2)
- Tamsulosin
- Bethanechol
Tamsulosin action
Blocks smooth muscle contraction in the prostate to improve the rate of urine flow for patients with BPH
Tamsulosin precautions (3)
- Rule out bladder cancer before giving
- Taken with cimetidine can cause toxicity
- Use caution in medications causing hypotension
Bethanechol action
Increase detrusor muscle tone to allow strong start to voiding in patients with post-op urinary hesitancy
Bethanechol precautions (2)
- Can’t use in patients with urinary tract obstructions
- Can’t use in patients with hypotension, decreased cardiac output
Tamsulosin side/adverse effects (3)
- Decreased libido
- Headache
- Dizziness
Tamsulosin nursing interventions (3)
- Take 30 minutes after meals at the same time each day
- If missed doses for several days restart with lowest dose
- Can cause orthostatic hypotension
Bethanechol side/adverse effects (3)
- Excessive salivation
- Abdominal cramps
- Diarrhea
Bethanechol nursing intervention
- Give on empty stomach
Anticholinergic meds for overactive bladder action
Antispasmodic actions to decrease detrusor muscle spasms and contractions
