click below
click below
Normal Size Small Size show me how
Diuretics
Pharmacology and the Nursing Process
Question | Answer |
---|---|
The three potassium-sparing diuretics? | spironolactone (Aldactone) amiloride triamterene |
MOA of k-sparing diuretic | works by blocking aldosterone receptors; decreases resorption of Na/H2O & increases K |
Therapeutic uses for k-sparing diuretics? | CHF; reverse K loss; hyper-aldosteronism |
SE of k-sparing diuretic? | hyperkalemia; HA; dizziness, cramps, N/V/D |
Contraindications of k-sparing diuretic | ACE inhibitors: increases K (hyperkalemia) |
drugs that accelerate urine formation | diuretic |
Example of osmotic diuretics | mannitol (Osmitrol) also prototype |
special factors associated with mannitol? | administered IV by filter; crystalizes w/ low temp. |
MOA of osmotic diuretic | remove Na/H2O; increases osmotic pressure of glomerular filtrate, pulls water into renal tubules |
Indications of osmotic diuretics | renal failure; decreases ICP and intraoculuar pressure |
osmotic diuretics considered tx for? | cerebral edema and head trauma |
off label uses for spironolactone | gynecomastia; amenorrhea; irregular menses; postmenopausal bleeding |
carbonic anhydrase inhibitor example? | acetazolamide |
therapeutic uses for carbonic anhydrase inhibitor? | open angle glaucoma; heart failure edema that hasn't responded to other diuretics; high altitude sickness |