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Name the Diuretic
Question | Answer |
---|---|
Increases calcium | HCTZ |
Decreases calcium | Furosemide |
Increases potassium | Spironolactone |
Decreases potassium | HCTZ and furosemide |
Retains sodium chloride and water in the renal tubule | HCTZ and furosemide |
Retains sodium and excretes potassium in the collecting duct | Spironolactone |
Uses large glucose to maintain water content in the renal tubule | Mannitol |
HCTZ ___________ serum concentration of digoxin and lithium | Increases |
Foods high in potassium | Tomatoes, potatoes, orange juice, bananas, spinach, beans |
Foods low in potassium | Berries, cucumber, lettuce, apples |
Contraindication for giving any/all of the diuretics | End stage renal disease |
Diseases that HCTZ may worsen | Diabetes mellitus and gout (causes hyperglycemia and hyperuricemia) |
Two main nursing assessments for patients on diuretics | Blood pressure, urine output, volume status, electrolytes (specifically potassium) |
Patients on furosemide should eat more of __________________ | High potassium foods - Tomatoes, potatoes, orange juice, bananas, spinach, beans |
Patients on spironolactone should eat more of ___________________ | Low potassium foods - Berries, cucumber, lettuce, apples |
If furosemide is given with gentamycin, what adverse effects become more likely? | Ototoxicity and nephrotoxicity |
HCTZ has cross sensitivity with what drug class? | Sulfa drugs |
Most important electrolyte to assess with diuretics | Potassium - why? |