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NUR 354 EXAM 2 (CH 24 - DIURETIC THERAPY AND DRUGS FOR KIDNEY FAILURE, CH 26 - DRUGS FOR HYPERTENSIONCH 28 - DRUGS FOR ANGINA PECTORIS AND MYOCARDIAL) INFARCTION) SCORED A+£10.40
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1. What is the difference between AKI -The kidneys do not work
and CKD? -In acute kidney injury (AKI), there is
a problem elsewhere that leads to a
problem with the kidneys, and is al-
most always reversible
-In chronic kidney disease (CKD),
there is a problem with the kidneys,
and it is not reverisble
2. What are the most effective Loop diuretics
(strongest) diuretics?
3. What are examples of loop diuret- -Bumetanide (Bumex)
ics? -Furosemide (Lasix)
-Torsemide (Demadex)
4. What is the MOA of loop diuretics? Preventing the reabsorption of sodium
and chloride in the nephron loop
5. Where do loop diuretics work? Loop of Henle (nephron loop)
6. What is the indication of loop di- -Alternative for hypertension
uretics? -Congestive heart failure
-Edema (various sources)
7. What is an adverse effect of loop Ototoxicity
diuretics?
8. What is the black box warning for Fluid and electrolyte imbalance
loop diuretics?
9. What is are important education -Decrease sodium intake (< 2g/day)
points to provide to a client who is -It increases urine output, so do not
taking a diuretic? take the medication at night
10. Why are loop diuretics more potent They are more effective in unloading
than thiazide diuretics? sodium and water
11. What are examples of thiazide di-
uretics?
, NUR 354 Exam 2
boh59d
-Chlorthalidone
-Hydrochlorothiazide/"HCTZ" (Mi-
crozide)
12. What is the MOA of thiazide diuret- Preventing the reabsorption of sodium
ics? and chloride in the distal convoluted
tubule
13. What is the indication of thiazide -First line treatment for hypertension
diuretics? -Edema
14. Where do thiazide diuretics work? Distal convoluted tubule
15. What is another name for potassi- Aldosterone antagonists
um-sparing diuretics?
16. What is the MOA of potassi- Inhibiting aldosterone to prevent reab-
um-sparing diuretics? sorption in the collecting duct
17. Where do potassium-sparing di- Collecting duct
uretics (aldosterone antagonists)
work?
18. What is an example of a potassi- Spironolactone (Aldactone)
um-sparing diuretic?
19. What is the indication of potassi- -Edema
um-sparing diuretics? -Heart failure
-Hypertension
20. What is an adverse effect of potas- Hyperkalemia
sium-sparing diuretics?
21. What is an important education Do not use with other medications
point for a client who is taking that can cause hyperkalemia (ACE in-
potassium-sparing diuretics? hibitors, ARBs)
22. What is the indication of ADH? -Cardiac arrest
-Severe shock
, NUR 354 Exam 2
boh59d
23. What is an example of an osmotic Mannitol
diuretic?
24. What is the indication of osmotic -Increase kidney perfusion
diuretics? -Reduction of ICP
25. What CAM is used for the preven- Cranberry juice
tion of UTIs?
26. What is a key consideration for Requires medication dosages to be
those taking a medication that have adjusted based on kidney function
CKD/AKI?
27. What drug class does acetazo- Carbonic anhydrase inhibitors
lamide (Diamox) belong to?
28. What is an example of a carbonic Acetazolamide (Diamox)
anhydrase inhibitor?
29. What is the indication of carbonic -Acute mountain sickness (AMS)
anhydrase inhibitors? -Glaucoma
30. What is an example of an alpha 2 Clonidine (Catapres)
agonist?
31. What is the MOA of alpha 2 ago- Increases alpha 2 and causes vasodi-
nists? lation
32. What is the indication of clonidine Alternative agent for hypertension
(Catapres)?
33. What is a side effect of clonidine Drowsiness
(Catapres)?
34. What are examples of an alpha 1 -Doxazosin (Cardura)
antagonist? -Prazosin (Minipress)
35. What is the indication of alpha 1 -BPH
antagonists? -Hypertension
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