val0516's version from 2015-10-09 18:20

Section 1

Question Answer
How Do Diuretics WorkAct on the proximal, distal or loop of Henle in the Renal Tubules to promote the excretion of sodium , water & potassium
What are Diuretics Used ForDiurectics effects lower blood pressure; decreases edema in CHF & Renal disease clients
Nursing considerations for DiureticsMonitor I &O, BP, pulse & electrolytes
Examples of Thiazinde DiureticsHydordiuril & Diuril
Examples of Potassium Sparing DiureticsAldactone
Examples of Loop DiureticsFurosemide(Lasix) ; Ethacrynic acid (Edecrin); Ethacrynic acid (Bumex)
Example of Osmotic DiureticMannitol
Other DiureticChlorthalidone (hygroton, Thalitone)

Section 2

Question Answer
Side Effects of Loop DiureticsHypotension, Hypokalemia, Hyperglycemia, GI upset; Weakness
Side Effects of Thiazide DiureticsHypotension, Hypokalemia, Hyperglycemia, Blurred vision due to loss of Sodium; Dry mouth
Side Effects of Potassium Sparing DiureticsHyponatremia, Hyperkalemia, Hepatic & Renal damage; tinnitus; Rash
Side Effects of BumexPotassium depletion, Electrolyte imbalance; hypovolemia; Ototoxicity
Side Effects of Osmotic DiureticDry mouth, Thirst
Side Effects of chlorthalidone "Hygroton, Thalitone"Dizziness, Aplastic anemia, Orthostatic Hypotension

Section 3

Question Answer
Nursing Considerations for Loop DiureticsMonitor BP, pulse, I &O, K+; Give IV dose over 1-2min; After PO dose diuresis in 30min; weigh client daily; don't give hs; encourage K+ foods
Nursing Considerations for Osmotic DiureticsI & O must be measured; Monitor Vitals; Monitor Electrolyte imbalance
Nursing Considerations for Thiazide DiureticsMonitor electrolytes especially K+; Monitor BUN & Creatinine; Don't give at hs; weight client daily; encourage K+ foods
Nursing Considerations for Potassium Sparing DiureticsUsed with other diuretics; Give with meals; avoid salt substitutes; Monitor I&O
Nursing Considerations for BumexSupervise ambulation; monitor blood pressure and pulse; observe for signs of electrolyte imblance

Section 4

Question Answer
What are Potassium Sparing Diuretics used forHypertension, Hyperaldosteronism, Edema, Diuretic-induced hypokalemia & it also reduces Ascites