Urinary meds

Question 1

What is mannitol and how does it work?

Answer 1

Osmotic diuretic

Pulls fluid back into the vascular and extravascular space by increasing serum osmolality to promote osmotic changes

Question 2

Therapeutic use for mannitol

Answer 2

1. prevent renal failure related to hypovolemia
2. decrease intracranial pressure related to cerebral edema
3. decrease intraocular pressure

Question 3

Side effects of mannitol

Answer 3

1. pulmonary edema
2. F&E imbalances
3. Thirst, dry mouth

Question 4

Interventions/education for mannitol

Answer 4

1. monitor daily weight, I&O, and F&E
2. Monitor for sx of hypovolemia
3. monitor neurological status

Question 5

Examples of anticholinergic meds for an overactive bladder

Answer 5

1. oxybutynin
2. tolterodine
3. darifenacin
4. solifenacin
5. trospium
6. fesoterodine

Question 6

Precautions/interactions of anticholinergic meds

Answer 6

1. DO NOT use for clients who have intestinal obstruction
2. use with other anticholinergics can increase anticholinergic effects
3. risk for cognitive impairment in older clients

Question 7

Side/adverse effects of anticholinergic meds

Answer 7

1. anticholinergic sx
2. drowsiness
3. dyspepsia (indegestion)

Question 8

Interventions/education for anticholinergic meds

Answer 8

1. instruct the client to manage anticholinergic side effects
2. instruct the client to report constipation lasting longer than 3 days

Question 9

What are anticholinergic sx?

Answer 9

can’t see, can’t pee, can’t stool, can’t drool