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pharm - diuretics

QuestionAnswer
What type/class of drug is Furosemide/?  Bumetanide? loop diuretics.
Why did I say we use this type of drug in the hospital? (Patient problem / Symptom?) tx.: HF, excessive fluid/fluid overload, HTN, emphysema, edema, etc.
What s/s indicates your patient's Loop diuretic is becoming toxic for them? tinnitus.
When (time) should we anticipate administering our patients' diuretic meds? Why? not before sleep so as to not interrupt sleep; admin in the morning.
Diuretics alter electrolyte levels 0 such as Na. What was the drug that can become toxic if Na levels drop? Lithium.
What was normal range for Na? 135-145mEq.
What type of drug is Ethacrynic acid? loop diuretic.
How can we assess for Hypocalcemia in our patients? (Signs?) assess Chovostek signs (facial nerve twitch) and Trosseau's signs (BP arm curling).
What were the strongest diuretics? loop diuretics: furosemide, bumetanide, ethacryinic acid.
What drug from last week turned our patients' urine blue/green? triamterene.
What were different time standards for blood transfusion? 30 minutes from lab to patient maximum; 4 hours infusion duration maximum.
What were all the patient teachings for Iron supplements? (3) - stool may appear black/dark green after first dose.. goes away with continued use. - take on empty stomach/1 hr before meals (food decreases absorption). - dilute liquid Rx with juice/water, use straw, and rinse mouth out to avoid teeth staining.
What were some medications that shouldn't be touched by females? testosterone, oxandrolone.
What was treatment for Torsades de Pointes? magnesium supplements: magnesium sulfate, magnesium citrate, magnesium hydroxide.
What does Depot mean? "depot injection" is a formulation of liquid/IV Rx that releases over time.
ED Drugs, what is C/I? nitroglycerin (NTG) and any/all nitrate drugs, grapefruit juice.
Treatment for Hyperkalemia? First? All the treatments? Precautions? 1) ca gluconate 10%/chloride 10% IVP 2) sodium bicarbonate IV 3) insulin and D50 IV 4) loop diuretics IV 5) beta-agonist Neb. (ie. albuterol) 6) sodium polystyrene sulfonate PO/Supp.
What was the main Potassium-sparing diuretic - that can also cause Hormonal/Endocrine changes in your patient? spironolactone.
What were the strongest diuretics? loop diuretics: furosemide, bumetanide, ethacrynic acid.
What are s/s that a vessicant medication is experiencing Extravasation? What should you do? swelling, cold/boggy skin, slowed/stopped IV infusion pump.
Correct ways to give Potassium? NEVER IVP! IV rate 10mEq/hr peripheral, 20mEq/hr central given over 4-6hr total; potassium iodide pill.
Correct things for the Estradiol patch (Where to place, how often to remove?) place away from breasts, ovaries, and uterus (ie. shoulder, glute, calf); replace weekly (7d).
What does 'Depot" mean? "depot injection" is a formulation of liquid/IV Rx that releases over time.
What did we mean by "Long Awful Ride"? BPH alpha-5 reductase inhibitors: finasteride, dutasteride. tx. is lifelong; a/e: decreased libido, gynecomastia, 'toxic semen'.
What did we mean by "Short Sexy Sin"? BPH alpha-1 adrenergic antagonists: tamsuloSIN, doxazoSIN. tx. works fast (within 48 hr); ci: sildenafil (viagra) use.
Teach re: temperature of showers for Tadalafil / Sildenafil? Pt teaching re: NTG and these drugs? avoid hot showers because they can stimulate vasodilation (heat=rapid vasodilation=BP drop=syncope). cannot be given/take with NTG or any/all nitrate drugs (will result in pt. death).
Created by: ssydneynw
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