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Pharm Week 4

complications

QuestionAnswer
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
Created by: stefiserrano
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