Renal Drugs
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Antipyretics - Decreases temperature by acting on hypothalamus | Aspirin, Tylenol, Ibuprofen
🗑
|
||||
| Aspirin | Decreases platelet aggregation. S/E: bleeding, GI upset, renal impairment, tinnitus is sign of toxicity
🗑
|
||||
| Tylenol | 4 g in 24 hour max. Does not have anti-inflammatory, does not cause bleeding, hepatoxic - use sparingly in liver disease
🗑
|
||||
| Ibuprofen | Similiar to aspirin, first choice for fever, lower risk for GI upset
🗑
|
||||
| Vitamin A | Accelerated epithelialization
🗑
|
||||
| Vitamin B | Coenzyme
🗑
|
||||
| Vitamin C | Assist in synthesis of collagen for new capillaries
🗑
|
||||
| Vitamin D | Calcium
🗑
|
||||
| Antibiotics for UTI | trimethoprim/Sulfamethoxazole, macrobid, Cipro, Nitrofurantoin
🗑
|
||||
| Trimethoprim/sulfamethoxazole | Inhibits synthesis of folic acid. Patients may have photo sensitivity. Report rash immediately (Stevens-Johnson Syndrome), sulfa allergy
🗑
|
||||
| Macrobid | Long term/long acting Nitrofurantoin
🗑
|
||||
| Cipro | Causes yeast infections in mouth or vaginal canal. Use cautiously in elderly b/c may cause confusion and psychosis. Photosensitivity. Do not give with dairy or iron supplements. Pleural Quinolone
🗑
|
||||
| Nitrofurantoin | Urinary antiseptic. Activated by enzymes in bacteria, therapeutic levels are only in urine. If GI upset take w/ meals. Photosensitivity. *Acute alveolar infiltrates: chest pain, trouble breathing, crackles in lungs
🗑
|
||||
| Antifungal meds for UTI | Flagyl, Mycelex, Mycostatin, Diflucan
🗑
|
||||
| Flagyl | Treats protozoa infections, CDIFF. May change taste of things to metallic. Harmless darkening of urine. Avoid alcohol. Given PO or IV (po treats CDIFF)
🗑
|
||||
| Mycelex | Topical or antifungal. Tx yeast infection
🗑
|
||||
| Mycostatin | Swish and spit powder. Antifungal used to Tx yeast infections
🗑
|
||||
| Diflucan | Given po. Antifungal used to treat yeast infections (candidiasis)
🗑
|
||||
| Pyridium | Urinary analgesic, not an antibiotic, will alleviate symptoms but not treat infection. Stains urine reddish/orange. long term use may cause anemia
🗑
|
||||
| Antineoplastic (Chemotherapy) | Doxrubicin, Platinol, Methotrexate, 5 Fluorouracil, Floxuridine, Gemzar, Bacille Calmette
🗑
|
||||
| Doxrubicin | Tx invasive bladder cancer. S/E: Bone marrow suppression. Red color to urine and sweat. Cardiotoxic - do not give w/ heart disease. Only give thru central line cuz if it infiltrates will cause severe tissue damage
🗑
|
||||
| Platinol | Tx invasive bladder cancer. Watch for kidney damage, monitor BUN/Creatinine. Pre-medicate with Zofran b/c causes nausea and vomiting within an hour. S/E mild to moderate bone marrow suppression and ototoxic
🗑
|
||||
| 5 fluorouracil | Inhibits DNA synthesis. Only active on dividing cells. Given IV. S/E: Bone marrow suppression, neutropenia, oral/GI ulceration stomatitis (mouth gets bright red & swells), alopecia
🗑
|
||||
| Floxuridine | Similiar to 5 fluorouracil, same class different drug
🗑
|
||||
| Gemzar | Inhibits DNA synthesis (cells must be dividing). S/E: Nausea, vomiting, alopecia. Given IV, Can have infusion reaction (hypotension/flushing) if it happens decrease rate of infusion
🗑
|
||||
| Bacille Calmette | Live vaccine used for TB. Administered directly through bladder via foley. Produces local inflammatory response causing tumor regression. S/E: Dysuria, urgency/frequency, hematuria. Contraindications: Immune suppressed or active UTI
🗑
|
||||
| Bladder Agents | Ditropan, Detrol, Bentyl, Flomax, Proscar, Estrogen, Enablex, Urecholine, Vesicare
🗑
|
||||
| Anticholingeric | Ditropan, Detrol, Enablex, Urecholine, Vesicare
🗑
|
||||
| Muscarinic Receptor Antagonist | Bentyl, Enablex, Vesicare
🗑
|
||||
| Ditropan/Detrol | Used to treat urge incontinence. S/E: dry mouth, dry eyes, blurred vision, constipation. Anticholinergic
🗑
|
||||
| Bentyl | Reduces overactive bladder contraction in urge incontinence and overactive bladder. Muscarinic Receptor
🗑
|
||||
| Flomax | Reduces urethral sphincter resistance. Tx overflow incontinence. Alpha Adrenergenic Blocker
🗑
|
||||
| Proscar | Used to decrease prostate size, BPH
🗑
|
||||
| Estrogen | Local application (topical/cream) used to increase host defenses against UTI
🗑
|
||||
| Enablex | Used for overactive bladder. Avoid w/ liver failure. S/E: dry mouth, dry eyes, blurred vision, constipation. Muscarinic Receptor, Anticholingeric
🗑
|
||||
| Urecholine | Used for urinary retention. Relaxes muscles and increases voiding pressure. S/E: rare
🗑
|
||||
| Vesicare | Tx: overactive bladder and urge incontinence. Avoid w/ liver failure. S/E: Dry mouth, dry eyes, blurred vision, constipation. Anticholinergic
🗑
|
||||
| Agents to treat Hyperkalemia | Kayexalate, calcium gluconate, sodium bicarbonate, Insulin & D50
🗑
|
||||
| Kayexalate | Can give orally or thru retention enema. Liquid given in grams. Will cause diarrhea and Na+ & H2O retention. Do not give orally if bowel issues. Watch for constipation. Don't give if CHF
🗑
|
||||
| Calcium Gluconate | Ca+ given IV push or IV piggyback. 10 acc amp. Cardioprotective, if given to quickly BP will rise
🗑
|
||||
| Sodium Bicarbonate | Given in large vein and pushes K+ back into cell. Thick and hard to push(costic)
🗑
|
||||
| Insulin & D50 | Given first b/c insulin drops blood sugar. Does not treat hyperkalemia, Dextrose 50 g glucose.
Treats hyperkalemia, pushes K+ back into cell
🗑
|
||||
| Meds for Renal Failure | Mucomyst, Renagel, Phoslo, Sensipar, Calcitrol, Fosrenol, Magnesium Oxide, Midodrine
🗑
|
||||
| Mucomyst | Kidney protector. Protects kidneys from IV dye
🗑
|
||||
| Renagel | Ca+ free phospate binder. Does not increase Ca+ levels. Expensive. Give to patients with cardiovascular risks. Binds to biosalts in intestine and decreases cholesterol
🗑
|
||||
| Phoslo | Ca+ based phosphate binder, "giving Ca+". Cheap. Give to patients who do not have cardiovascular risks. Decrease Phos Increase Ca+
🗑
|
||||
| Sensipar | Works in parathyroid gland. Prevents hyperparathyroidism in end stage renal disease. Only used on patients on dialysis
🗑
|
||||
| Calcitrol | Active form of Vit D. Give in addition to Renagel, Phoslo, and Sensipar if Ca+ level decrease
🗑
|
||||
| Fosrenol | Ca+ free phosphate binder. Expensive give to patients with cardiovascular risks
🗑
|
||||
| Magnesium Oxide | Replaces magnesium and alleviates constipation
🗑
|
||||
| Midodrine | Increases BP during dialysis
🗑
|
||||
| Lasix/Bumex | Work in loop of henle to secrete excess fluid (potassium), causes hypokalemia
🗑
|
||||
| Epogen/Procrit | Stimulates RBC production. Given subcut on days of dialysis. Natural replacement of erythorpoietin that kidneys make. Will not see increase in hgb for 2-3 weeks
🗑
|
||||
| Aranesp | Longer acting so it isn't given as frequently, depends on hemoglobin level
🗑
|
||||
| Iron Sucrose | Can be given with or without erythorpoietin. Watch for hypotension. Iron supplement given IV
🗑
|
||||
| Sodium Ferric Gluconate | Must give with erythorpoietin. Can have severe allergic reaction so give test dose. Watch for hypotension, flushing, chest/back pain. If test dose goes okay can give full dose. Iron supplement given IV
🗑
|
||||
| Isotonic Solutions | 0.9 NS, Ringers Solution, Lactated Ringers
🗑
|
||||
| Hypertonic Solutions | 3% NaCl
🗑
|
||||
| Hypotonic Solutions | 0.45, D5W
🗑
|
||||
| 0.9 NS | Only fluid you can use w/ blood products. Used to keep fluid in vascular space
🗑
|
||||
| 0.45 NaCl | Fluid goes into tissue (rehydrates tissue)
🗑
|
||||
| 3% NaCl | Used to treat severe hyponatremia. Given slowly on IV pump, watch patient carefully
🗑
|
||||
| Ringers Solution | Has some electrolytes. Stays in vascular space
🗑
|
||||
| Lactated Ringers | Has some bicarbonate, no free water or calories, just replaces vascular volume loss
🗑
|
||||
| D5W | Has 170 cal/L. Will not stay in vascular space, rarely given
🗑
|
||||
| Albumin | Protein, not given as a nutrition supplement but to pull fluids into vascular space which will maintain BP. Comes in 5% (250 mL) or 25% (50mL). Some will see this as blood product. Given during dialysis and to maintain BP
🗑
|
||||
| Potassium Chloride po | Large white pill that is hard on stomach (GI upset) so give with food. Enteric coated yellow pill protects stomach
🗑
|
||||
| Potassium Chloride IV | Add to IV fluid. 40 meq/L = maintenance fluid. Peripheral IV = 10 meq/hr. Burns peripherally, get doctors order for lidocaine. Central line = 20 meq/hr b/c there is more blood flow
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kristyd02
Popular Nursing sets