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NCLEX > Urinary Medications > Flashcards

Urinary Medications Flashcards

1
Q

Loop diuretic medications (2)

A
  • Furosemide
  • Bumetanide
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2
Q

Thiazide diuretic medications (2)

A
  • Hydrochlorothiazide
  • Chlorothiazide
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3
Q

Potassium sparing diuretic medications (2)

A
  • Spironolactone
  • Triamterene
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4
Q

Diuretic use (3)

A
  • Pulmonary edema from heart failure
  • Edema that doesn’t resolve with other diuretics
  • HTN unaffected by other diuretics
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5
Q

Diuretic precautions (3)

A
  • Use caution with diabetic patients
  • Can’t be used during pregnancy
  • NSAIDS reduce effectiveness
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6
Q

Loop/thiazide side/adverse effects (7)

A
  • Hypovolemia
  • Ototoxic (loop)
  • Hypokalemia
  • Hyponatremia
  • Hyperglycemia
  • Digoxin toxicity
  • Lithium toxicity
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7
Q

Potassium sparing side/adverse effects (2)

A
  • Hyperkalemia
  • Endocrine effects (impotence, menstrual problems)
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8
Q

Nursing interventions for diuretics (6)

A
  • 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
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9
Q

Osmotic diuretics action

A

Pull fluid back into vascular/extravascular space by increasing serum osmolality to promote osmotic changes

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10
Q

Osmotic diuretic medication

A

Mannitol

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11
Q

Therapeutic use of osmotic diuretic (3)

A
  • Prevent renal failure related to hypovolemia
  • Decrease ICP
  • Decrease intraocular pressure
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12
Q

Precautions for osmotic diuretics

A

Caution in patients with heart failure

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13
Q

Side/adverse effects of osmotic diuretics (3)

A
  • Pulmonary edema
  • Fluid/electrolyte imbalances
  • Thirst, dry mouth
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14
Q

Nursing interventions for osmotic diuretics (3)

A
  • Monitor daily weight, I&O’s, electrolytes
  • Monitor for signs of hypovolemia
  • Monitor for neuro status
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15
Q

Alpha adrenergic blockers urinary hesitancy medications (2)

A
  • Tamsulosin
  • Bethanechol
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16
Q

Tamsulosin action

A

Blocks smooth muscle contraction in the prostate to improve the rate of urine flow for patients with BPH

17
Q

Tamsulosin precautions (3)

A
  • Rule out bladder cancer before giving
  • Taken with cimetidine can cause toxicity
  • Use caution in medications causing hypotension
18
Q

Bethanechol action

A

Increase detrusor muscle tone to allow strong start to voiding in patients with post-op urinary hesitancy

19
Q

Bethanechol precautions (2)

A
  • Can’t use in patients with urinary tract obstructions
  • Can’t use in patients with hypotension, decreased cardiac output
20
Q

Tamsulosin side/adverse effects (3)

A
  • Decreased libido
  • Headache
  • Dizziness
21
Q

Tamsulosin nursing interventions (3)

A
  • 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
22
Q

Bethanechol side/adverse effects (3)

A
  • Excessive salivation
  • Abdominal cramps
  • Diarrhea
23
Q

Bethanechol nursing intervention

A
  • Give on empty stomach
24
Q

Anticholinergic meds for overactive bladder action

A

Antispasmodic actions to decrease detrusor muscle spasms and contractions

25
Q

Anticholinergic meds for overactive bladder (6)

A
  • Oxybutynin
  • Tolterodine
  • Darifenacin
  • Solifenacin
  • Trospium
  • Fesoterodine
26
Q

Anticholinergic meds for overactive bladder uses (2)

A
  • Urinary incontinence
  • Urinary urgency/frequency
27
Q

Precautions for anticholinergic meds for overactive bladder (3)

A
  • Not for patients with intestinal obstructions
  • Using with other anticholinergics can increase anticholinergic effects
  • Risk for cognitive impairment in older adults
28
Q

Side/adverse effects of anticholinergic meds for overactive bladder (3)

A
  • Anticholinergic symptoms
  • Drowsiness
  • Dyspepsia
29
Q

Nursing interventions for anticholinergic effects for overactive bladder (2)

A
  • Teach patients how to manage anticholinergic symptoms
  • Report constipation lasting longer than 3 days
30
Q

Sexual dysfunction medications action

A

Enhances the effect of nitric oxide to promote relaxation of penile muscles allowing increased blood flow to produce an erection

31
Q

Sexual dysfunction medications use (2)

A
  • Erectile dysfunction
  • Treat pulmonary arterial HTN
32
Q

Sexual dysfunction precautions (2)

A
  • Not for use in patients taking nitrates, alpha blockers for BPH, antihypertensives
  • Not for patients with history of strokes, hypo/hypertension, heart failure
33
Q

Sexual dysfunction side/adverse effects (6)

A
  • Hypotension
  • Priapism
  • Vision impairment
  • Hearing loss
  • Headache
  • Flushing
34
Q

Sexual dysfunction medications nursing interventions (4)

A
  • Give 1 hour before sexual activity and don’t use more than once daily
  • Notify provider of any medications/herbal supplements taking
  • Avoid organic nitrates
  • Stop medication and notify provider if erection lasts longer than 4 hours

NCLEX (40 decks)

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