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unit 5, part 1

pharm

QuestionAnswer
loop diuretics ACTION inhibit reabsorption of sodium and chloride in proximal/ distal tubules and loop of henle, RENAL pee out k+/ reduces electrolytes
loop diuretics USES HF, edema, cirrhosis, hypertension, CAN be used with ACE inhibitors and calcium channel blockers
loop diuretics EXAMPLES Furosimde LASIX torsemide Bemadex bumetanide BUMEX
loop diuretics CONTRAINDICATIONS Drug allergy (SULFA) severe electrolyte loss DEHYDRATION
loop diuretics ADVERSE REACTIONS Electrolyte emblances orthostatic hypotension photosensitty (SUN) ototoxicity temp/perm- faast IV LASIX
loop diuretics NURSING MONITOR I/O DAILY WIGHT ELECTROLYTES TAKE IN MORNING AVOID SUN CAUTION WITH SULFA ALLERGY
loop diuretics LABS Electrolyte levals,
loop diuretiics EXTRA CONSIDERATION FALL RISK LABS BASE LINE VS nocturia (peeing at night )
loop dietertics :S/S Severe diahrea hypotension/ tachy cardia thirsty & do TUG TEST
loop diuretics overview increasd urine output, loose edmea lowerer cardia output lower cirulation BV HYPOTENSION
before considering putting on RX if borderline hypertnesion lower WT Diet excersie change diet lower salt
on RX watch for dizzyness, rise slowly and dangle on bed/chair BP SITTING STANDING LAYING
CHF pt's WT 1st in morning - same scale, same bed in hospital naked AFTER PEE and poo before eat / drink
notify dr iF IN CHF pts 2+3, pounds increased overnight at home call provider CSF- fluid overloud may need IV lasix txt diahreases
always establish baseline VS / LABS
high risk drug medications -cardiovascular meds- ABCD A- ACE INHIBITORS B BETA BLOCKERS C CALCIUM BLOCKERS DIURETIC/DIGITALIS
HIGH RISK MEDS HICKOP HEPRIN INSULIN CALCIUM CHANNEL BLOCKERS - (SMOOTH MUSCLE IN HEART RELAXES GIVEN AFTER STROKE HELPS WITH O2) K POTASSIUM - DISRYTHMIA OPIOIDS- RESPITORY DEPRESSION PEDIATRICS / NEONATES
Created by: mmishue
 

 



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