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drugs

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
thiazide&like diuretics   result in Na+ & H2O excretion from the kidney 2, reduced circulating bld volume will lower the B/P, 3, first choic for HPT tx in pts with adequate renal fxn - not for pt with DM, 4, k+ is also lost with sodium and water  
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chlor-thali-done   hygroton  
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cholro-thiazide   diuril  
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hydro-chloro-thiazide   hydro-diuril -HCTZ  
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uses/considerations   HPT-Check K+  
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LOOP DIURETICS   1, sodium and water excretion at the loop of henle, 2, causes intense diuresis and k+ loss, 3, sulfa derivative-check for allergies  
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furosemide   lasix 40 mg tid  
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Bumetanide   bumex ( not approved for hpt)  
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use/considerations   hpt/CHF/liver or renal dx , k+ supplement  
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POTASSIUM SPARING DIURETICS   causes mild diuresis but blocks potassium excretion  
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spironol-actone   aldactone (hpt)  
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triamterene   dyrenium (hpt-combined with HCTZ)  
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Side effects   hyperkalemia (with potassium sparing diuretics), hypokalemia, hyponatremia, hypotension  
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nursing implications   give am, weight daily, I &O, assess for electrolyte imbalance:  
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hypo- kalemia   malaise, muscle weakness, dsyrhthmia  
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hyper-kalemia   n/d, muscle weakness, dsyrhthmia  
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hypo-natremia   muscle weakness, leg cramps , dry mouth  
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