NSG-318 Topic 9 Drugs Review
Questions and Correct Answers
Hydrochlorothiazide drug class ✅thiazide diuretic
Hydrochlorothiazide therapeutic uses ✅increase urine output and to treat htn, edema,
hf, nephrotic syndrome, and ascites
Hydrochlorothiazide se ✅photosensitivity, o.h.
Hydrochlorothiazide nc ✅-monitor vs
-observe for s/s of hypokalemia
-monitor patient's daily uo and weight
Hydrochlorothiazide pe ✅-take early in morning to avoid sleep disturbances from
nocturia
-slowly change positions from lying to standing b/c dizziness can occur
Hydrochlorothiazide drug cam interactions ✅aspirin, steroids, anti-diabetic drugs, and
nsaids
Hydrochlorothiazide food cam interactions ✅aloe, gingko, licorice, and hawthorn
Furosemide (lasix) drug class ✅loop diuretic
Furosemide (lasix) therapeutic uses ✅treat hf, renal dysfunction, htn, nephrotic
syndrome, acute pulmonary, and peripheral edema
Furosemide (lasix) se ✅photosensitivity, o.h., hypokalemia, and tinnitus
Furosemide (lasix) nc ✅-monitor uo and weight to determine body fluid gain or loss
-monitor vs and note decrease in bp
-administer iv furosemide slowly, hearing loss may occur if injected too quickly
-monitor potassium levels especially if patient is on digoxin
Furosemide (lasix) pe ✅wear sunblock or sunscreen when going into sun
Furosemide (lasix) cam interactions ✅alcohol, aminoglycosides, steroids, digoxin,
licorice, hawthorn, and ginseng
Spironolactone drug class ✅potassium-sparing diuretic
, Spironolactone therapeutic uses ✅peripheral and pulmonary edema, edema,
circulatory overload, htn, hf, ascites, and hypokalemia
Spironolactone se ✅cns effects, gi distress, and muscle cramps
Spironolactone ae ✅severe hypokalemia
Spironolactone nc ✅-monitor uo
-record vs and abnormal changes
-observe for s/s of hyperkalemia
Spironolactone pe ✅-take in am to avoid nocturia
-ih have high potassium levels, avoid foods high in potassium
Spironolactone drug cam interactions ✅potassium supplements, anti-hypertensives,
lithium, and ace inhibitors
Metoprolol (lopressor) drug class ✅beta-1 blocker
Metoprolol (lopressor) therapeutic uses ✅control htn, acute mi, angina, and hf
Metoprolol (lopressor) se ✅tinnitus and impotence
Metoprolol (lopressor) ae ✅bradycardia and hypotension
Prazosin hydrochloride (minipress) drug class ✅antihypertensive: alpha-adrenergic
blocker
Prazosin hydrochloride (minipress) therapeutic uses ✅htn
Prazosin hydrochloride (minipress) se ✅tinnitus and impotence
Prazosin ae ✅o.h.
Prazosin hydrochloride (minipress) nc ✅monitor vs, weight gain, and fluid retention
Prazosin hydrochloride (minipress) pe ✅-do not abruptly stop medication
-self-monitor daily weights
-take weekly bp and record
-do not take otc cold, cough, or allergy meds w/o consult w/ hcp
-decrease salt intake
Prazosin hydrochloride (minipress) cam interactions ✅nsaids
