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
Anticholinergic meds for overactive bladder (6)
- Oxybutynin
- Tolterodine
- Darifenacin
- Solifenacin
- Trospium
- Fesoterodine
Anticholinergic meds for overactive bladder uses (2)
- Urinary incontinence
- Urinary urgency/frequency
Precautions for anticholinergic meds for overactive bladder (3)
- Not for patients with intestinal obstructions
- Using with other anticholinergics can increase anticholinergic effects
- Risk for cognitive impairment in older adults
Side/adverse effects of anticholinergic meds for overactive bladder (3)
- Anticholinergic symptoms
- Drowsiness
- Dyspepsia
Nursing interventions for anticholinergic effects for overactive bladder (2)
- Teach patients how to manage anticholinergic symptoms
- Report constipation lasting longer than 3 days
Sexual dysfunction medications action
Enhances the effect of nitric oxide to promote relaxation of penile muscles allowing increased blood flow to produce an erection
Sexual dysfunction medications use (2)
- Erectile dysfunction
- Treat pulmonary arterial HTN
Sexual dysfunction precautions (2)
- Not for use in patients taking nitrates, alpha blockers for BPH, antihypertensives
- Not for patients with history of strokes, hypo/hypertension, heart failure
Sexual dysfunction side/adverse effects (6)
- Hypotension
- Priapism
- Vision impairment
- Hearing loss
- Headache
- Flushing
Sexual dysfunction medications nursing interventions (4)
- 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
