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pharm renal urinary meds Questions with correct Answers 100% and detailed solutions
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pharm renal urinary meds Questions with correct Answers 100% and detailed solutions
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pharm renal/urinary meds(Fluoroquinolone)
Pyelonephritis
UTI
Urosepsis
Broad Gram +/- coverage - ✔✔cipro uses
**Convulsions
**Thrombophlebitis
**Pulmonary congestion
Headache, chest pain, tachycardia - ✔✔mannitol side effects
**IV INFUSION ONLY**
Must use FILTER FOR IV ADMIN,
stored in a warmer *Low dose to treat AKI - ✔✔mannitol administration instructions
*C/I w/ sulfonamide allergy
*Not safe while pregnant
*Not safe infants <2 months
Interactions : Sulfonylureas > drop BG, Phenytoin (anti-seizure) > toxicity , Warfarin > increase
PT/INR (risk for bleeding) - ✔✔Trimethoprim (Bactrim) and Sulfamethoxazole (Septra)
contrainindications/ precautions
*Decreases efficacy of OCPs*
*Monitor for hypoglycemia* - ✔✔Trimethoprim (Bactrim) and Sulfamethoxazole (Septra) side effects
*loop diuretics
Edema
HTN
Ascites
************Hypercalcemia !!!!!!!!!!*********** - ✔✔"ide" indications
*Nephrotoxicity
*Ototoxicity
*Red Man Syndrome - result of being infused via IV too quickly
*Hypotension if infused too quickly
PEAKS AND TROUGHS - ✔✔Vancomycin side effects
, *SHOULD NOT be used if creatinine clearance less than 30-50mL/min*
*Caution use if PT experiencing renal dysfunction - ✔✔Hydrochlorothiazide contrainindications/
precautions
antibiotic
Pyelonephritis, MRSA (choice for this), osteomyelitis, urosepsis - ✔✔Vancomycin indications
antibiotic; lower UTI
skin reaction, ecg changes, periph neuropathy, hepatotoxic, gi discomfort - ✔✔Nitrofurantoin
(Macrobid) indications
antibitoics for lower UTI
*Photosensitivity
*Urticaria
*Cough
Allergy rxn, convulsions, hepatotoxic, pancreatitis, anemia - ✔✔Trimethoprim (Bactrim) and
Sulfamethoxazole (Septra) indications and side effects
carbonic anhydrase inhibitors
glaucoma management
High altitude sickness
Diuretic (edema)
Lower intraocular pressure before eye surgery - ✔✔"zolamide" indications
Dizziness, blurred vision, hypotension
**Hypokalemia**(MONITOR), **impotence**, decreased libido
Glycosuria - ✔✔Hydrochlorothiazide side effects
Educate to report: any muscle pain/weakness, s/s rupturing tendon
Caution - elderly PTs, risk for falls w/ visual/musculoskeletal changes - ✔✔cipro education and
contrain
Headache, GI disturbances, TURNS URINE ORANGE Anemias/AKI
contrain: C/I - pregnancy, renal insufficiency, hepatitis - ✔✔Phenazopyridine
Hydrochloride (Pyridium) side effects and contraindications
HTN, increased SVR
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