NUR 3145 Diuretic & Pharmacotherapy Of Renal Failure Questions And Answers
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Nur 3145 Diuretic
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Nur 3145 Diuretic
NUR 3145 Diuretic & Pharmacotherapy Of Renal Failure Questions And Answers
Diuretics are used to treat what four conditions? (Hint: think heart and kidneys.) ANS Renal Failure
Heart Failure
Accumulation of Edema
& HTN
**Name the three primary adverse effects r/t diuretics.** ANS Electrolyt...
Nur 3145 Diuretic & Pharmacotherapy Of Renal
Failure Questions And Answers
Diuretics are used to treat what four conditions? (Hint: think heart and kidneys.) ANS Renal
Failure
Heart Failure
Accumulation of Edema
& HTN
**Name the three primary adverse effects r/t diuretics.** ANS Electrolyte Imbalance
Dehydration
Hypotension
Which type of diuretics are the most effective? ANS Loop diuretics.
How do LOOP diuretics work? ANS LOOP diuretics block sodium reabsorption in the LOOP of
Henle. (water follows Na+ out of body...)
Loop diuretics can only be administered parenterally. True/False? ANS False! Loop diuretics can
be administered both orally and parenterally.
(loOP diuretics - both the letters O and P are in the word loOP.)
Furosemide (lasix) = Loop diuretic ANS Cruella de Vil was obsessed with FUR, and she was
LOOPY af: FURosemide - LOOP diuretic.
Furosemide can't be given to patients with a potassium level above 5.1mEq/L or higher. True/False?
ANS False! Furosemide cannot be given to patients with a K+ level at 3.4mEq/L or LOWER.
Potassium range is 3.5-5.0 mEq/L. 3.4 or lower is Hypokalemia: Lasix will cause further potassium
depletion in patients.
, **Can be administered with potassium supplements to prevent this.
Nursing considerations for Furosmeide (Lasix) include all of the following except...
a) Monitor vital signs & BP
b) Administer early in the day; esp. if pt. is taking it at home.
c) Administer with sodium supplements
d) Observe older adults carefully
e) Ensure ready access to the bathroom ANS c) Administer with sodium supplements.
Exp: Lasix is a loop diuretic; these diuretics work by getting RID of sodium. In fact, administering
any sort of supplement is not included in Nursing Considerations...
Actual Nursing Considerations:
a) Monitor vital signs & BP - risk for hypotension
b) ***Administer early in the day; esp. if pt. is taking it at home.***
c) Establish Safety precautions.
d) Observe older adults carefully - they need assistance to restroom due to increased risk of falls
e) Ensure ready access to bathroom - see reasoning above
What are some significant adverse effects to watch out for with Furosemide (loop diuretics)? ANS
**Ototoxicity**
Hyperuricemia
Metabolic alkalosis
Tachycardia
Hypovolemia
Two important contraindications for Lasix.
(Hint: we went over one already.) ANS **Severe fluid/electrolyte depletion**
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