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HLT250 Pharm
Chapters 25-27 Diuretics, Urinary Anti-Infectives, Misc Urinary Drugs
Question | Answer |
---|---|
Diuretics are best taken right before bed true or false? | False. Diuretics are administered early in the day to prevent any night time sleep disturbance caused by increased urination |
Potassium Sperry drugs increased excretion of potassium true or false? | False. This is because potassium sparing diuretics depress the excretion of potassium and therefore are called potassium sparing or potassium saving diuretics |
Thiazide diuretics can be used for patients with an anuria (Failure of the kidneys to produce urine) True or false? | False. This is because thiazides are contraindicated in patients with an anuria |
What is the most common adverse reaction of diuretics? | Fluid and electrolyte imbalance |
Hyperkalemia can be a result of the administration of potassium sparing diuretics. True or false? | True. Hyperkalemia means low blood potassium |
The most common electrolyte lost with the use of a diuretic is: | Potassium |
What is the most common structure of the urinary tract that is affected by pathogenic microorganisms? | Bladder |
Each urinary anti-infective drug works best on certain strands of bacteria true or false? | True |
When a UTI is diagnosed sensitivity tests are performed to determine bacterial sensitivity to drugs. True or false? | True |
Anti-infective are used in the treatment of urinary tract infections and have an effect on viruses in the urinary tract. True or false? | False. Anti-Infectives are drugs used to treat infections but Anti-infectives do not treat viruses, They treat bacteria in the urinary tract. |
What advice would NOT be given to a patient taking miscellaneous urinary drugs? | Take the drug only until symptoms clear. |
The most common structure affected with a UTI is the bladder true or false? | True |
What fruit juice has long been recommended for preventing and treating urinary tract infections? | Cranberry juice |
The most common adverse reactions associated with the anticholinergics are diarrhea and vomiting true or false? | False. This is because dry mouth and constipation are the two most common |
What are anticholinergics used to treat? | Overactive bladder. These drugs counteract smooth muscle spasms of the urinary tract by relaxing the detrusor and other muscles through action of the parasympathetic receptors |
Causes of eructation to the lower urinary tract mucosa are infections, trauma, surgery and endoscopic procedures true or false? | True |
Symptoms of an overactive bladder are: | Urinary urgency, urinary frequency and urge continence, which is an accidental loss of urine caused by a sudden and unstoppable need to urinate |
What would be recommended for a patient taking anticholinergics that is experiencing the adverse reactions of dry mouth? | Suck on hard candy sugarless lozenges or small pieces of ice and brush your teeth regularly |
accidental loss of urine caused by a sudden and unstoppable need to urinate | Incontinence |
What are the side effects of diuretics? | Increased excretion, frequent urination |
UTIs | Urinary tract infections, Infection caused by pathogenic microorganisms of one or more structures of the urinary tract; The bladder is the most commonly affected |
Amiodarone | (Cordarone Pacerone). -Class II antiarrhythmic drug This drug appears to act directly on the cardiac cell membrane prolonging the refractory period and repolarization and increasing the ventricular fibrillation threshold |
What is prescribed for ventricular arrhythmias? | Amiodarone |
What are the five different types of diuretics? | Carbonic anhydrase inhibitor diuretics, osmotic diuretics, potassium-sparing diuretics, and thiazides and related diuretics |
Diuretics | Drugs that increase the secretion of urine (Water, electrolytes, and waste products ) by the kidneys |
When a diuretic is being given for heart failure, what would be most indicative of an effective response to diuretic therapy? | Daily weight loss of 2 lbs |
Which electrolyte imbalance would most likely develop in a patient receiving a loop or thiazide diuretic? | Hypokalemia. Low blood potassium |
Which foods should patients include in their daily diet to prevent hypokalemia? | Bananas |
Diuretics effectively increase the amount of fluid in body tissues true or false? | False. This is because diuretics decrease excess fluid in body tissues |
Potassium sparing diuretics are typically given to control epileptic seizures true or false? | False. This is because carbonic anhydrase inhibitor (acetazolamide) is used for epileptic seizures |
A patient taking a diuretic who has leg and foot cramps, hypertension, neuromuscular irritability and hallucinations is likely experiencing ________. | Hypomagnesemia |
Gout attacks may occur in patients taking ________ diuretics, | Thiazide |
Define dysuria | Burning and pain upon urination |
A patient experiencing brown discoloration of urine is likely taking the drug __________. | Nitrofurantoin |
And anti-infective that is _______ "kills" the bacteria where as an anti-infecte that is _______ "slows"or retards the bacteria | Bactericidal (kills) Bacteriostatic (slows) |
Cranberries may help cure UTIs. True or false? | False. There is no evidence that suggests cranberries can cure urinary tract infections, but they may help to prevent occurrence or relieve symptoms |
The most common adverse effect of phenazopyridine is: | Urine discoloration, which stains. This is because it is a dye. |
Symptoms of urge incontinence include painful urination. True or false? | False. This is because the symptoms of urge incontinence include a sudden and unstoppable urge to urinate resulting in accidental loss of urine |
Which of the following miscellaneous urinary drugs has no anti-infective activity? | Phenazopyridine, It has no anti-infective activity. It is a dye that exerts topical analgesic effects on the urinary tract lining. |