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Pharm Week 4
complications
Question | Answer |
---|---|
furosemide aggressively excretes sodium, water and potassium | hypokalemia, hyponatremia, hypotension, dehydration, hyperglycemia, hyperkalemia (ototoxicity) drink 1500mL of water, wear sunglasses, record daily weight, report titinus and muscle twitching, dizziness |
hydrochlorothiazide moderately excretes sodium, water, and potassium | hypokalemia, hyponatremia, dehydratio, hypotension no toxicity and does not work on renal failure SAME complication as furosemide |
spironolactone weakly excretes sodium and water. Spares potassium. this is for hypertension | hyperkalemia avoid salt an d potassium supplements, check BP, and I&O's, and erectile dysfunction |
potassium chloride For hypokalemia | GI upset and hyperkalemia take oral forms with food and water |
testosterone replaces endogenous testosterone | women may develop male sex traits, fetal death, and can have priaprism |
ethinyl estradiol and drospirenone prevents pregnancy and ovulation | thromboembolic events (MI, PE, and stroke), fetal death, don't take antibiotics with it, take at same time each day |
sildenafil for erectile dysfunction | fetal vaso dialation, hypotension, prolonged erection for 4 hours |
finasteride For BPH it shrinks prostate size and increase urine flow by testosterone | decrease libido and male breast enlargement, fetal death, this can HELP male baldness |
oxybutynin for overactive bladder (increases bladder muscle) | dry mouth, tachycardia, constipation, urine retention |
tamsulosin to increase urine flow by relaxing the bladder and neck and blood vessels | hypotension, check BP before admin |
bethanechol for urine retention (it stimulates cholinergic receptors) | bradycardia, diarrhea, increase gastric acid Antidote for bradycardia: atropine |