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Renal Pharmocology
Stack #181367
Question | Answer |
---|---|
DIURIL ( CHLORATHIAZIDE) | Thiazide Diuretics |
ESIDRIX ( HYDROCHOLORATHIAZIDE) | Thiazide Diuretics |
HYDRODIURIL(HYDROCHOLORATHIAZIDE) | Thiazide Diuretics |
What dose diuretics treat? | HTN, GLAUCOMA, PREVENT ACUTE TUBULAR NECROSIS |
What dose Thiazide have sensitivity to ? | Sulfonamides |
When you give IV thiazied diuretic it should only be given in or if pt cant take it po | EMERGENCIES ONLY |
People with sytemic lupuis or HYPERCHOLESTEROLEMIA should take precautions if on this type of diuretic | Thiazide Diuretic |
Thiazide may cause what ? | Decrease K+, Na+, Mg+ |
Thiazide may increase what ? | Glucose |
Triglycerides and Cholestorol levels may increase when on this diuretic | Thiazide |
What are one of the most common adverse reaction when on this thiazide? | Restlessness |
This toxicity may occur when on Thiazide | Lithium Toxicity |
Thiazide mix with K+ & Digoxin may cause what? | Digtoxicity |
thiazide w/ anti-hpertensive may cause | Hypotension |
Hypokalemia can occur when on this diuretic | Thiazide |
Drowsiness , Paraestesia , Muscle Cramp, Hyporeflexia | These are reaction of Thiazide diuretic |
When on thiazide you may require what type of supplement? | K+ / or they can get it by eatting food high in K+ |
Bumex | is the most potent |
Lasix ( furosemide) | Loop Diuretic |
Demade ( Torsemide) | Loop Diuretic |
Loop diuretics have the highest | Highest Potential for (ADR) Adverse Drug Reaction |
Loop Diuretics have the higest | Potential electrolyte |
This diuretic can cause Severe Uncorrected Electrolytes Depletion | Loop Diuretic |
Elderly, Pregnant Women, Hepatic Cirrhosis, Ascites, Sytemic Lupus, Cautiuosly Use | Loop Diuretic |
Transient deafness, Tinnitis, ABD Pain, Impaied Glucose Tolerance, Paresthesia, Photosensitivity, Orthostatic Hypotension are reactions of | Loop Diuretic |
Fluid and Electrolyte, Imbalance are reaction of | Loop Diuretics |
Lithium Toxicity | Loop Diuretic |
Loop Diutetic w/ Digtoxity may cause | Hypokalemia |
Loop Diuretic w/ Aminoglycosides may cause | ototoxicity |
Anti-coagulantsw/ Loop Diuretics may cause | Increase in there effects |
This Diuretic may cause this? | Hypokalemia |
Why would you administer a Loop Diuretic IV SLOWLY 1-2min, This will prevent what | Tinnitis |
When you give lasix IM you use what method | Z-Track |
When on Loop Diuretic you may have s/s of | Dehydration |
Hypovolemia may occur when on this Diuretic | Loop Diuretic |
May have an increase heart rate | Loop Diuretic |
May decrease blood pressure | Loop Diuretic |
Monitor I&O when on this Diuretic | Loop Diuretic |
Must give meds with Foo/Milk | Loop Diuretic |
Midamor ( Amiloride ) | K+ Sparing Diuretic |
Aldactone ( Spironlactone ) | K+ Sparing Diuretic |
Dyrenium ( triamterene ) | K+ Sparing Diuretic |
Midamor ( Amiloride ) Dose not | Metabolized |
Primarly used to conserve K+ or Enhance the effect of | K+ Sparing Diuretics |
Aldactone are prescribed for | Hyperaldasteronism , Cirrhosis followed by edema, ascetes, nephrotic syndrome, hypokalemia |
K+ 5.5 meq/l are found in | K+ Sparing Diuretics |
K+ Sparing Diuretics you should have exterm caution on pt w/ | DM |
pt should be aware that K+ Sparing Diuretics they may be at risk for | Metobolic, Respitory Acidosis, Renal / Hepatic impairment |
K+ Sparing Diuretics may be used to treat | Iodioathic edema, Hrt Failure, Hepatice cirrhosis, Nephrotic syndrome, Steroid use |
K+ Sparing Diuretic may increase what labs? | BUN ,K+ |
K+ Sparing Diuretics May cause what side effects? | N/V , Diarrhea, Anorexia, ABD Pain, Muscle Cramping , H/A , Dizziness |
Ace inhibitors interact with | K+ Sparing Diuretic |
K+ supplements may interact w/ | ACE Inhibitors |
K+ Sparing Diuretics used w/ Aldactone & Digoxin will | Increase the risk for Digtoxicity |
Salicylate may decrease | Aldactone effects |
Hyperkalemia is a side effect of what diuretic? | K+ Sparing Diuretic |
No etoh and possible dietery restrictions when on this diuretic | K+ Sparing Diuretic |
I/O & Weight may be monitor when on | K+ Sparing Diuretic |
Confusion , Hyperexcitability, Muscle Weakness, Flaccid Paralysis, Arrhythmia, abd destention | Are S/S of Hyperkalemia (K+ Sparing Diuretics) |
No Na+ Substitutions, or K+ Rich Foods when on | K+ Sparing Diuretic |
Avoid driving , when on K+ Sparing Diuretics may cause | dizziness, H/A, Visual Disturbance |
Ismotic ( Isosorbide ) | Osmotic Diuretic |
Osmitrol ( Mannitol) | Osmotic Diuretic |
Osmoglyn ( Glycerin ) | Osmotic Diuretic |
Ureaphi ( Urea) | Osmotic Diuretic |
Osmotic Diuretic is used for | Cerebral Edema, Reduce iccp , also Intraoccular pressure |
Mannitol promotes duresis in | ARF |
promotes unrinary excretions fo toxic | Mannitol |
Glycerin & Isosorbide are used for | Acute Attacks of Glaucoma |
This diuretic pulls water in the colon | Osmotic Diuretic |
if unable to urinate then this may be used | Osmotic Diuretic |
Frank/Impending Acute Pulmonary Edema you may occur with the use of | Osmotic Diuretic |
Anuria / Sever renal disease / Sever Pulmonary Congestion / dysfunction of the real system after the uses of this med | Mannitol Therapy |
Urea(Ureaphi) may increase | Renal Excretion fo lithium there for may decrease effects of lithium |
Confusion , Disorientation, Light headedness, Dizziness, Syncope, Vertigo, Hyponatrmia, Circulatory overlaod | Osmotic Diuretic |
Thrombophlebitis may occur when you are on this diuretic | Osmotic Diuretic |
Chest pain , Blurred vison, Rhinitis, Urinary Retention are causd by what diuretic | Mannitol |
Fluid overlaod , Increase Urine caused by what diuretic | Osmotic Diuretic |
Circulatory Overlaod, Fluid Volume Depletion are monitored when on | Osmotic Diuretic |
Diamox ( Acetazdamide ) | Carbonic Anhydrase Inhibitors |
Darande ( Dichlorphenamide ) | Carbonic Anhydrase Inhibitors |
Glauctabs ( Methazolamide ) | Carbonic Anhydrase Inhibitors |
Check electrolytes when on this diuretic | Carbonic Anhydrase Inhibitors |
Decrease pressure in the eyes this diuretic is used | Carbonic Anhydrase Inhibitors |
Used for Glaucoma | Carbonic Anhydrase Inhibitors |
Diamox used to treat | Epilepsy , Acute Mountian sickness |
Decrease Na+ , K+ when on this | Carbonic Anhydrase Inhibitors |
Precaution is need when a patient has this disorder Adrenocortical Insufficiency | Carbonic Anhydrase Inhibitors |
Carbonic Anhydrase Inhibitors is rarely used to treat | Hrt failure Secondary to metabolic acidosis |
hepatic coma caused by | Methazolamid |
sensitivity to Sulfonamides | Carbonic Anhydrase Inhibitors & Asprin |
Metabolic acidosis , electrolyte imbalance, Stevens-Johnson Syndrome, Photosensitivity | Carbonic Anhydrase Inhibitors |
Increase Inraocular pressure | Difluisal |
Acetazolamide ised w/ Cyclosporine may increase | Cyclosporine levels and you may be at risk for Neurotoxicity |
Acetazolamide used w/ Primidone may decrease | Serum and urine levels of Primidon |
Avoid sunlight when on this med | Carbonic Anhydrase Inhibitors |
used to prevent Hypokalemia | Potassium Supplement |
Never Crush or Chew | Potassium Supplement |
Cardia Problems when to much of this is used | Potassium Supplement |
Max dose for Potassium Supplement | 40meq give po 1 x doses staggered by several HRS |
Give 10meq / he diluted in 50ml of saline if in this form | KCL |
Never give IV Push | Potassium Supplement |
Hypokalemia which causes Dig To be absorbed may cuse ditoxity | Potassium Supplement |
Olgiuria, Anuria, Heart Cramps , Renal imparment caused by | Potassium Supplement |
Interact w/ K+ Spaing Diuretic, Ace Inhibitors, Sal Subsitutes, Potassium Salts | Potassium Supplement |
Hypotension, EKG Changes , Restlessness, Heaviness of legs | Potassium Supplement |
Arrythmia , Cardiac arrest , Respitory, Paralysis may be S/S of toxicity from this med | Potassium Supplement |
Loop Diuretics & Thiazided are given then give | Potassium Supplement |
Potassium should not be given immediately | Postoperativly untill urine flow is established |
Acts as Bacteriostatic ( inhibits growth of bacteria ) | Anti- Infectives |
Complete all medication as ordered | Anti- Infectives |
Oral supplement may stain teeth | Anti- Infectives |
Complete all medication for urinary tract infection & bladder infection | Anti- Infectives |
Anti- Infectives you should check | Hepatic function, Renal Function |
Methenamin ( Hiprex,Mandelamine) | Anti- Infectives |
Nitrofuranton ( Macrodantin ) | Anti- Infectives |
Trimethoprim ( Proloprim) | Anti- Infectives |
Sulfisoxazole | Anti- Infectives |
Phenazopyridine ( AZO-Gastrisn) | Anti- Infectives |
Also used for Anti- Infectives | Bactrium , cipro |
May cause sever dehydration | Anti- Infectives |
May cause SZ disorder | Anti- Infectives |
May Increase Liver Enzymes | Anti- Infectives |
May cause a false positive on a glucose test | Anti- Infectives |
May cause gi bleed, and Diarrhea | Anti- Infectives |
Antispasmotics relaxes smooth muscle of the | Urinary Tract |
Tolterodine tartrate ( Detrol ) | Antispasmotics |
Oxybutynin chloride ( Ditropan) | Antispasmotics |
Antispasmotics may cause hypersensitivity to | Anticholinergics |
May cause obstructive Breathing , Obstructive GI Disease | Antispasmotics |
what are the side effectsfor Antispasmotics | Excitment |
when on Antispasmotics you should monitor | CNS Manifestation / don't Chew pills |
When on Cholinergics / Anti-Retention it may cause | GU/GI Smooth Muscle to Contract |
Bethnechol ( Urecholine) | Cholinergics / Anti-Retention |
Hypotenstion may occur when the use of | Colinerigics and Cholinergics / Anti-Retention are used |
Cholinergics / Anti-Retention may cause the lung to constrict so do not take if you are | ashmatic |
This may cause urinary strictures when on | Bethanechol |
Cholinergics / Anti-Retention may also cause | ABD Pain/ Cramping |
When on Cholinergics / Anti-Retention the patiet should rise | Slow |
This is used to relive pain with UTI/Irritation | Pyridium ( Phenazopyridine) |
Pyridium ( Phenazopyridine) | Change your cloths Red/Orange |
When Pyridium ( Phenazopyridine) is used with antibiotic you must d/c afer | 2 days of use |
S/S of Urinary anlgesics | H/A , Vertigo |
Urinary anlgesics (Pyridium) | May turn sclera yellow |
If a patient had a UTI they should | maintaint good hygeins |
Urinary anlgesics may not be effective untill | 24-48hrs |
Duxazosin ( Cardura) | BPH Medication |
Tamsulosin (Flomax) | BPH Medication |
Terazosin ( Hytrin) | BPH Medication |
Finasterido ( Proscar) | BPH Medication |
BPH Medication | May interact w/ Warafin |
BPH Medication may cause | Impotence, Decrease ejaculation, Decrease labido |
BPH Medication S/S | Hypotension , Nervousness, Diarrhea, Nausea |
BPH Medication adverse affects are | Hypotensiton, Shock, Arrythmia |
BPH Medication ( warafarin) also known as | also know as rat posion |
Anicoagulation is a | Warafarin |
May decrease blood pressure | BPH Medication |
Moitor urine Volume when on | BPH Medication |
BPH Medication | The patient should avoid dring 12-24hrs when on |
Pregnant women should stay clear of this med may cause birth defects | BPH Medication |