Flashcards in Diruetics Deck (21)
general way that diuretics work
preventing reabsorption of chloride and sodium
adverse reactions for thiazides
how many pounds is 1 L of fluid
suggest what for people on a thiazide
sunscreen, can cause photosensitivity
if pt is taking a thiazide and digoxin what should you do?
monitor for digitalis toxicity
thiazines are potassium wasting diuretics
encourage patient to eat diet high in potassium, supplements may be ordered
adverse reactions of loop diruetics
hypokalemia, hyponatremia, hypocalcemia, hypomagnesemia, hypochloremia
how do osmotic diuretics work
increase sodium reabsorption, sodium, chloride and potassium are excreted but to a lesser degree
signs and symptoms of hypokalemia
muscle weakness, abdominal distention, leg cramps, cardiac dysrhythmias
hypokalemia can increase the risk for what type of toxicity?
furosimide can be taken with what?
food to prevent GI upset
emphasize the importance of taking _____ with loop diuretics?
prototype potassium sparing diuretics
monitor for what of spironolactone
hyperkalemia: nausea, diarrhea, abdominal cramping, numbness and tingiling of the hands, feet, legs cramps, tachycardia and later bradycardia , peaked narrow T wave, oliguria
all patients should take diuretics what?
in the morning, prevents nocturia
side effects of potassium sparing diuretics
rash, dizziness, GI upset
evaluation of effectiveness of diuretics
decreased weight, decreased bp, decreased edema
what are osmotic diuretics used for?
TBI, kidney failure, decrease intraocular pressure
potassium sparing diruetics
adverse effects of osmotic diruetics
pulmonary edema due to fluid shifts, nausea, vomiting, tachycardia from rapid fluid loss, acidosis