EXAM 3 STUDY GUIDE
Pharmacology and Medsurge
Galen College of Nursing
,
, Exam 3 pharm study guide
Loop, potassium-sparing, and thiazide diuretics
Drug classification
Thiazides
Thiazide-like diuretics
Loop
High ceiling diuretics
Potassium-sparing
Potassium sparing diuretics
Thiazide
Action
Acts on the distal convoluted renal tube.
Promotes sodium, chloride, and water excretion
Indications
Hydrochlorothiazide
Decrease blood pressure
Decrease amount of fluid within the body
Treats peripheral edema
Side effects
Hyperglycemia
Hypercalcemia
Hypokalemia
Dizziness
Vertigo
Adverse reactions
Cardiac dysrhythmias
Orthostatic hypotension
Severe hypokalemia
Contraindications
Renal failure
Diabetes
Interactions
Digoxin
Herbal products
Loop diuretics
Action
Act on the loop on henle by inhibiting chloride transport of sodium and passive
reabsorption of sodium.
As more fluid is passed out by the kidneys, less fluid remains in the bloodstream
Indications
Furosemide
HF
Renal dysfunction
Hypertension
Peripheral and pulmonary edema
Side effects
, Electrolyte imbalances
Decrease in potassium, magnesium, sodium, calcium
Hyperglycemia
Dizziness
Headache
Adverse reactions
Hypokalemia
Hyponatremia
Hypomagnesemia
Orthostatic hypotension
Renal failure
Contraindications
Severe electrolyte imbalance
Hypovolemia
Anuria
Diabetes mellitus
Hypotension
Interactions
Digoxin-risk for digitalis toxicity
Lithium
Potassium-sparing
Action
Blocks the action of aldosterone
Promotes sodium and water excretion and promotes potassium retention
Indications
Spironolactone
Edema/fluid retention
Hypertension
Congestive heart failure
Kidney disease
Side effects
Dizziness
GI upset
Weakness
Headache
Adverse reactions
Hyperkalemia
Hepatoxicity
Contraindications
Severe kidney and liver disease
Interactions
Potassium supplements
Ace inhibitors
Diuretics and the nursing process
Assessment (for all diuretics)
Baseline vitals