Renal/Urinary

Question 1

Potassium Sparing Diuretics

Answer 1

• Spironolactone and amiloride

- Monitor K for hyperkalemia

Question 2

loop diuretics

Answer 2

Potassium wasting

• Suffixes: -nide and -mide
• Monitor for low K
• Administer slowly or can cause ototoxicity
• Furosemide is very potent

Question 3

Thiazide diuretics

Answer 3

Potassium-wasting

• Suffix: -thiazide
• AE: low K, low Na, Increase uric acid, increase BS

Question 4

Sodium Polystyrene Sulfonate (keyaxelate)

Answer 4

• Potassium binders
• Tx mild hyperkalemia
• Helps remove extra K through stool
• Doesn’t affect Na!

Question 5

Phenazopyridine

Answer 5

• Analgesic
• To tx symptoms associated with UTI
• Body fluids may turn red/orange
• NOT an antibiotic

Question 6

Anticholinergic/Antispasmodic

Answer 6

• Anticholinergics/antispasmodics
• Tx overactive bladder, decreases urgency, frequency, and nocturne and urinary incontinence
• oxybutynin, tolterodine, solifenacin
• SE: Can’t see, spit, pee, poop, think
• Cautious of hot weather d/t decreased sweat production (potential for hyperthermia)

Question 7

Epoetin Alfa (EPO)

Answer 7

Erythropoiesis-stimuating agents

• Tx anemia associated with CKD
• Start is Hgb < 10 and stop when Hgb >11 or uncontrolled HTN
• AE: HTN, venous thromboembolism (blood thickens d/t high concentration RBCs)
• Iron supplements may also be prescribed
• Admin 3 times per week subs or IV through a dialysis line