Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Module 5 drugs

Posted by Laura on September 30, 2009

Drug Dosage Action Side effects
Thiazide diuretic          antihypertensives, diuretic (management of mild to moderate hypertension/edema/renal dysfunction
Hydrochlorothiazide PO Blocks Na reabsorption in DGT were only 5-10% is usually reabsorbed. Pres for mild-mod Hypervolemia. Lowers BP Hypokalemia (nursing intervention for hypokalemia is to get prescribed potassium supplements.)
Loop Diuretics (indications: edema due to heart failure, hepatic impairment or renal disease. Hypertension)
Furosemide(Lasix) PO-edema, IM IV Block Na reabsorption in the Asced. – Loop Henle where 20-30% of filtered Na is normally reabsorbed. Prescribed for severe Hypervolemia. F and E: dehydration, , hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis. Hemat: APLASTIC ANEMIA, AGRANULOCYTOSIS,Geri: Diuretic use is associated w/ increase risk for falls in older adults.
Bumetanide(bumex) Similar to above. No Life threatening.
Potassium sparing diuretics (indications: counteract K loss, treatment edema or hypertension) weak diuretic
Spironolactone – Aldactone PO edema Weak diuretic inhibit Na reabsorption. Saving Potassium Hyperkalemia (main difference in diuretics)Salt substitutes include potassium and should be used with caution.
Supplements
Potassium Prescribed to avoid the precaution of hypokalemia from Thiazide and loop diuretics
Magnesium Prescribed due to decreased magnesium levels with loop and Thiazide diuretics due to decreased reabsorption and excretion by kidneys.
Where sodium goes, water flows…..Azotemia (increased nitrogen levels in the blood) – can occur with FVE (fluid volume excess) Hypervolemia

Acute weight gain = 2.2 lb ( 1 kg) = 1 Liter of fluid

Severe edema-ANASARCA

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