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GU System

Pharm

QuestionAnswer
Thiazide & Agents Drugs (2) Hydrochlorothiazide (HCTZ) & Zaroxylyn
Thiazide & Agents Action Inhibit reabsorption of sodium & chlroide ions in the distal tubule of nephron, which results in excretion of sodium, chloride and water
Thiazide & Agents Interventions (6) Give in early AM, labs, high K+ supplement, no alcohol, sunblock, rise slowly
Loop Diuretics Drugs (2) Bumex & Lasix
Loop Diuretic Actions (3) Inhibits sodium & chloride reabsorption from ascending limp of the loop of Henle, excrete K+,sodium,chlroide,phosphate, magnesium & Bicarbonate, cause vasodilating affect & increase renal blood flow
Loop Diuretic Uses (3) Hypertension, Pulmonary edema & Generalized edema
Loop Diuretic S/E (4) Electrolyte imbalance, dizziness, photosensitivity, hypotension, muscle cramps
Loop Diuretic NI individual Bumex - most powerful (1mg Bumex=1mg Lasix), Lasix - most common, 8-10x more powerful than thiazide family, treat CHF, pt w/ CHF also recieves Digoxin, careful supervision
Carbonic Anhydrase Inhibitors Drugs (2) Diamox, Napatazane
Carbonic Anhydrase Inhibitor Action Inhibit enzyme carbonic & hydrase in kidney, which results in excretion of sodium, potassium, bi-carbonate, water
Carbonic Anhydrase Inhibitor Uses (2) Treats glacoma, Diuretics decrease production of aqueous humor, which in turn decreases intraoccural pressure
Osmotics Drugs (2) Osmitrol & Urivert
Osmotics Action Inhibit tubular reabsorption of water & electrolytes
Osmotic Interventions (4) Monitor VS & level of consciousness, monitor labs, monitor urine output, monitor electrolytes
Potassium Sparer Drugs (3) Aldactone, Aldactazide, Dyrenium
Potassium Sparer Action Antagonises action of aldosterone (blocked) - sodium and water are excreted
Aldactone vs Aldactazine & Their goal Aldactone is potassium sparer; Aldactazine balances & is a combo drug of aldactone & HCTZ; Both hope to balance out potassium
Potassium Sparer S/E (4) Hyperkalemia, gastritis, drowsiness, lethargy
Potassium Sparer Intervention (Dyrenium) Report potassium levels higher than 5 - no salt substitute because its made of potassium
Drugs used to treat UTI - Sulfonamide Drug Bactrim
Drug used to treat UTI - Sulfonamide Action Treat acute UTI & acute Otitis Media (ear infection)
Drug used to treat UTI - Sulfonamide S/E (4) Crystaluria, hematuria, N/V, headache
Urinary Antiseptic Agents - Quinolone Drug Cipro
Urinary Antiseptic Agent - Quinolone Use Treats acute UTI
Anti-infective Agent - Miscellaneous Agent Drug Macrodantin
Anti-infective Agent - Miscellaneous Agent Use Treat acute UTI
Anti-infective Agent - Miscellaneous Agent - S/E (2) peripheral neuropathy & headache
Anti-infective Agent - Miscellaneous Agent Intervention (2) take w/ food, drug discolors urine to a rust brown color
Urinary Analgesic Drug Pyridium (OTC & Dye)
Urinary Analgesic Action (2) Produces local anesthetic affection ureters & bladder, relieves burning pain & urgency associated w/ UTI
Urinary Analgesic Interventions (4) Cause urine to be reddish-orange, if pt develops yellowish ting to skin or scelera which may indicate cumulation therefore stop drug & call DR, stains clothes, not used for long term use - only few days
Drug used to treat Overactive Bladder Ditropan
Drug used to treat Overactive Bladder Action (2) Inhibit contractions & delay urge to void, increasing bladder capacity - fill & empty
Drug used to treat Overactive Bladder Uses (2) Overactive bladder, neurogenic bladder (pts w/ MS or stroke)
Drug used to Stimulate Bladder Urecholine
Drug used to Stimulate Bladder Action Parasympathetic nerve stimulant that causes contraction of muscle in bladder, usually resulting in urination
Drug used to stimulate Bladder Use Non-obstructive urinary retention particularly in post-op pts
Created by: breinard
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