Diuretics Flashcards

1
Q

What are diuretics and how do they work?

A

Help your body get rid of fluid and sodium by releasing more sodium into your urine. Sodium helps reduce water from your blood, reducing the amount of fluid flowing through your veins and arteries. This decreases high blood pressure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are loop diuretics?

A

A powerful diuretic that inhibits the reabsorption of water and sodium from the loop of Henle in the kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are potassium sparing diuretics?

A

A generally weak diuretic, they increase urine without the loss of potassium, resulting in decreasing fluid in the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Common medications for loop diuretics?

A
  • Furosemide
  • Thiazides (Chlorothiazide & hydrochlorothiazide)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What medications end in IDE?

A

Loop diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Common Potassium Sparing medications?

A

Spironolactone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the therapeutic action of loop diuretics?

A

Promote sodium and water loss by blocking sodium and chloride reabsorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the therapeutic action of potassium sparing diuretics?

A

Promote sodium and water excretion and potassium retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Indications of diuretics

A
  • Hypertension
  • Edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Contraindications for loop diuretics?

A
  • Hypersensitivity
  • Anuria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Anuria

A

Failure of kidneys to produce urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Contraindications of potassium sparing diuretics

A
  • Renal failure
  • Hyperkalemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hyperkalemia

A

High potassium levels in the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Side effets of loop diuretics

A
  • Dizziness
  • Tinnitus
  • Muscle cramps
  • Weakness
  • Headache
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Side effects of potassium sparing diuretics

A
  • Nausea/vomiting
  • Abdominal discomfort
  • Headache
  • Drowsiness
  • Confusion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adverse effects of loop diuretics

A
  • Hypokalemia
  • Hyponatremia
  • Hypovolemia
  • Orthostatic hypotension
17
Q

Hypokalemia

A

Low levels of potassium in your blood

18
Q

Hyponatremia

A

Low levels of sodium in the blood

19
Q

Hypovolemia

A

Low levels of fluid in the body

20
Q

Adverse effects of potassium sparing diuretics

A

Hyperkalemia

21
Q

Nursing interventions for diuretics

A
  • Assess vitals, electrolytes, weight, and urine output
  • Assess drug history
  • Weigh patient everyday at the same time with the same amount of clothing on
  • Observe for signs of hypo/hyperkalemia
22
Q

Signs of hypokalemia

A
  • Muscle weakness
  • Abdominal distention
  • Leg cramps
  • Cardiac dysrhythmias
23
Q

Signs of hyperkalemia

A
  • Nausea
  • Diahrrea
  • Abdominal cramps
  • Numbness/tingling of hands & feet
  • Leg cramps
  • Tachycardia
  • Dysrhythmias/cardiac issues
24
Q

How many pounds of weight lost = what amount of fluid lost?

A

2.2lbs of weight lost = 1 liter of fluid lost

25
Q

Patient education for diuretics

A
  • Take in the morning
  • Rise slowly due to orthostatic hypotension
  • Weigh daily
  • Need for potassium replacement
26
Q

Patient education for loop diuretics

A

Signs and symptoms of hypokalemia

27
Q

Patient education for potassium sparing diuretics

A

Signs and symptoms of hyperkalemia