NURS 5334 - Module 5 questions with
answers 2024
Loop ,,Diuretics ,,- ,,ANSWER: ,, ,,➡ ,,Furosemide ,,(Lasix), ,,ethacyrnic, ,,bumetanide, ,,torsemide
MOA: ,,work ,,in ,,ascending ,,loop ,,of ,,henle ,,to ,,block ,,sodium ,,and ,,chloride ,,reabsorption
all ,,may ,,cause: ,,ototoxicity, ,,hypovolemia, ,,hypotension, ,,hypokalemia, ,,hyperuricemia, ,,hyperglycemia,
,,and ,,disruption ,,of ,,lipid ,,metabolism
ex: ,,if ,,patient ,,has ,,gout, ,,question ,,if ,,lasix ,,appropriate. ,,but ,,if ,,patient ,,has ,,chf, ,,might ,,not ,,have ,,a ,,choice
Thiazide ,,diuretics ,,- ,,ANSWER: ,, ,,➡ ,,sulfa ,,diuretics ,,(so ,,can ,,have ,,cross ,,allergy ,,to ,,abx) ,,
- ,,hctz, ,,metolazone, ,,Chlorthalidone ,,
- ,,MOA: ,,increase ,,the ,,renal ,,excretion ,,of ,,sodium, ,,chloride, ,,potassium ,,and ,,water ,,
- ,,work ,,in ,,distal ,,convoluted ,,tubule ,,
tx ,,use: ,,htn, ,,edema, ,,diabetes ,,insipidus
osmotic ,,diuretic ,,- ,,ANSWER: ,, ,,➡ ,,mannitol ,,
reduces ,,ICP, ,,given ,,parenterally
Potassium ,,sparing ,,diuretics ,,- ,,ANSWER: ,, ,,➡ ,,Aldosterone ,,antagonists ,,-> ,,spironolactone ,,(bb ,,tumorgenic
,,in ,,rats) ,,and ,,esplerenone ,,
tx ,,use: ,,htn, ,,chf, ,,hirsutism, ,,acne, ,,pcos ,,(blocks ,,androgen ,,receptors ,,
ex: ,,if ,,patient ,,has ,,bp ,,that ,,is ,,not ,,controlled ,,and ,,on ,,3/4 ,,diff ,,meds, ,,this ,,is ,,good ,,class ,,to ,,try
decrease ,,morbidity ,,and ,,mortality ,,in ,,chf ,,patients ,,
non-aldosterone ,,antagonists ,,-> ,,triameterene, ,,amiloride
, ACE ,,inhibitors ,,- ,,ANSWER: ,, ,,➡ ,,tx ,,use: ,,htn, ,,chf, ,,mi, ,,diabetic ,,and ,,nondiabetic ,,nephropathy, ,,prevention
,,of ,,mi, ,,strok ,,and ,,death ,,in ,,pts ,,at ,,high ,,cv ,,risk ,,
s/e: ,,fetal ,,injury ,,(don't ,,give ,,to ,,people ,,of ,,child ,,bearing ,,age ,,unless ,,on ,,birth ,,control), ,,first ,,dose
,,hypotension, ,,cough ,,(accumulation ,,of ,,bradykinin) ,,angioedema, ,,hyperkalemia, ,,neutropenia, ,,renal
,,failure ,,(kidney ,,protective ,,to ,,a ,,certain ,,point, ,,but ,,if ,,at ,,end ,,stages ,,can ,,get ,,to ,,renal ,,failure) ,,
**if ,,given ,,with ,,lasix ,,can ,,counteract ,,the ,,hyperkalemia ,,
**all ,,diabetics ,,should ,,be ,,on ,,an ,,ACE ,,inhibitor ,,or ,,ARB ,,because ,,it ,,protects ,,them ,,from ,,nephropathy
ARB ,,- ,,ANSWER: ,, ,,➡ ,,Angiotensin ,,II ,,Receptor ,,Blocker
tx ,,use: ,,htn, ,,chf, ,,mi, ,,diabetic ,,and ,,nondiabetic ,,nephropathy, ,,prevention ,,of ,,mi, ,,strok ,,and ,,death ,,in ,,pts
,,at ,,high ,,cv ,,risk ,,
s/e: ,,fetal ,,injury ,,(don't ,,give ,,to ,,people ,,of ,,child ,,bearing ,,age ,,unless ,,on ,,birth ,,control), ,,first ,,dose
,,hypotension, ,,angioedema, ,,hyperkalemia, ,,neutropenia, ,,renal ,,failure ,,(kidney ,,protective ,,to ,,a ,,certain
,,point, ,,but ,,if ,,at ,,end ,,stages ,,can ,,get ,,to ,,renal ,,failure) ,,
same ,,side ,,effects ,,as ,,ace ,,inhibitors ,,with ,,less ,,risk ,,of ,,cough ,,because ,,they ,,do ,,not ,,promote ,,accumulation
,,of ,,bradykinin ,,in ,,the ,,lung
direct ,,renin ,,inhibitor ,,- ,,ANSWER: ,, ,,➡ ,,aliskiren ,,
not ,,prescribed ,,a ,,lot ,,
but ,,is ,,an ,,option ,,
same ,,s/e ,,as ,,arbs ,,and ,,aces
calcium ,,channel ,,blockers ,,- ,,ANSWER: ,, ,,➡ ,,decrease ,,calcium ,,inside ,,the ,,cell ,,and ,,cause ,,vasodilation
dihydropyridines ,,- ,,ANSWER: ,, ,,➡ ,,nifedipine, ,,amlodipine, ,,felodipine, ,,nicardipine ,,