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NUR120 Unit 2
Renal
46
Nursing
Not Applicable
02/16/2011

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Term
Aspirin
Definition
Antipyretic, lowers temperature by centrally acting on hypothalamus, watch for bleeding, GI upset
Term
Tylenol
Definition
Antipyretic, lowers temperature by centrally acting on hypothalamus, 4 g day max, hepatoxic
Term
Vitamin A
Definition
Accelerates epithelialization
Term
Vitamin B
Definition
Acts as coenzyme
Term
Vitamin C
Definition
Assists in synthesis of collagen and new capillaries
Term
Vitamin D
Definition
Facilitates calcium absorption
Term
Kayexalate
Definition
Administer PO or rectal retention enema used to treat hyperkalemia, K exchanged for Na, diarrhea, K rich stool
Term
TMP/SMX
Definition
Sulfonamide, inhibit bacterial growth by inhibiting synthesis of folic acid, good solubility in urine, decreases risk of renal calculi, report rash immediately, used in pyelonephritis
Term
Macrobid
Definition
Long acting nitrofurantonin, used to treat UTI, watch for pulmonary fibrosis, neuropathies
Term
Cipro
Definition
Fluroquinolone, used for complicated UTI, watch for candida infections of the mouth and vagina, use cautiously in elderly as it causes confusion and visual disturbances, do NOT give with dairy, Mg and Al antacids, Fe, increases warfarin
Term
Furadantin/Macrodantin
Definition
Urinary antiseptic activated by enzyme within the bacteria, therapeutic levels only seen in urine, 2nd choice, take with meals, notify MD if fever, chills, cough, chest pain, dyspnea, rash or numbness, avoid sun light
Term
Pyridium
Definition
Urinary analgesic, OTC, provides soothing effects on the urinary tract muscosa, stains urine red-orange, avoid long term use
Term
Flagyl
Definition
Protozoal infections, treats anaerobes only, treats CDIFF, used to treat Trichomonas for urethritis, metallic taste, darkening of urine, no alcohol
Term
Mucelex
Definition
Topical/PO, antifungal, used to treat trichomonas for urethritis, condidias
Term
Mucostatin
Definition
Antifungal, used to treat urethritis, candidias
Term
Diflucan
Definition
Antifungal, used to treat urethritis, PO, candidias
Term
Elavil
Definition
Tricyclic antidepressant, reduces sensory urges and burning, pain, reduces overative bladder contractions, used to treat painful bladder syndrome, reduce burning, pain, and urgency
Term
Aventyl
Definition
Tricyclic antidepressant, used to treat painful bladder syndrome, reduces burning, pain and frequency
Term
Platinol
Definition
Chemotherapy agent used to treat invasive bladder cancer, watch for kidney damage, N/V begins within one hour, mild to moderate bone marrow suppression, ototoxic
Term
Adriamycin
Definition
Chemotherapy agent used fo treat invasive bladder cancer, bone marrow suppression, cardiotoxicity, harmless red color to urine and sweat
Term
Folex
Definition
Chemotherapy agent, used to treat invasive bladder cancer, bone marrow suppression
Term
Ditropan
Definition
Anticholinergic, used to treat urge incontinence, dry mouth, constipation, blurred vision, dry eyes
Term
Detrol
Definition
Anticholinergic, relaxs bladder muscle and inhibits overactive detrusor muscles, used to treat urge incontinence, warn about GI cramping, diaphoresis, blurred vision, urgency
Term
Bentyl
Definition
Muscarinic receptor antagonist and anticholinergic, reduces overactive bladder contractions in urge incontinence and overactive bladder
Term
Flomax
Definition
Alpha adrenergic blocker, reduces urethral sphinctor resistance to urinary outflow, used to treat overflow incontinence
Term
Proscar
Definition
5-Alpha reductase inhibitor androgen, suppression that results in epithelial atrophy and a decrease in total prostate size, decrease outlet resistance, used to treat overflow incontinence, used in BPH
Term
Premarin
Definition
Female hormone, local application reduces urethral irritation and increases host defenses against UTI, careful with history of breast cancer, CV risk
Term
0.45% NS
Definition
Hypotonic, used to replace hypotonic fluid losses, no calories, no electrolytes, can be used as a maintanence solution
Term
K Dur
Definition
Sustained release oral potassium supplement, GI upset, do NOT crush or chew
Term
Potassium Chloride IV
Definition
Concentration no more than 40 mEq/L rate of infusion should not exceed 20 mEq/hr, caution with renal compromised
Term
Silverderm (Biopatch)
Definition
Antimicrobal delivers silver and polythexamethylene bigaunde, indicated in partial or full thickness wounds, over the skin line site and surgical incisions
Term
Aquasite
Definition
Hydrogel, donates moisture to a dry wound and maintain moist healing environment, debridement because of moisturizing effects limited absorption of exudates used for partial to full thickness wounds, deep wounds with minimal damage, necrotic wounds
Term
Algicell
Definition
Alginate, nonadhesive pads/ribbons composed of natural polysaccharide fibers or Xerogel derived from seaweed on contact with exudates form a moist gel, indicated for a wound with moderate to heavy exudate, secondary dressing required
Term
Insulin D50
Definition
Given together in rapid IVP to treat hyperkalemia very hypertonic, give in large veins if possible, pushes K back into the cell
Term
Sodium Bicarbonate
Definition
Used to treat hyperkalemia, large volume, hypertonic, give in a large vein if possible, pushes K back into the cell
Term
Calcium Gluconate
Definition
Negates effects of hyperkalemia on cardiac muscle, improves cardiac function in hyperkalemia, maybe given IVP, increases blood pressure and cardiac output if given IVP, may be give IVPB
Term
Mucomyst
Definition
Used for patients with compromised kidneys undergoing radiological test with dye, protects the kidneys
Term
Renagel
Definition
Na free phospate binder used in renal failure to treat hyperphosphatemia, does not increase calcium levels, expensive, give to patients with high Ca or have CV risk, also binds to bile salts in intestines and thereby decreases chclesterol as well
Term
Fosrenol
Definition
Ca free phospate binder, used in renal failure to treat hyperphosphatemia does not increase Ca levels, expensive, give to patients with high Ca
Term
Phoslo
Definition
Ca based phosphate binder used in renal failure to treat hyperphosphatemia, increased risk of hypercalcemia, cheap, give to patiens with normal Ca levels and no CV risk
Term
Rocaltrol
Definition
Active form of Vitamin D, give in renal patients if Ca low despite control of phosphate and calcium supplements, serum phosphate levels must be ocntrolled before giving
Term
Sensipar
Definition
used to treat secondary hyperparathyroidism in ESRD, increases sensitivity of calcium receptors in the parathyroid gland parathyroid gland detects Ca at lower levels and decreases pH, used only in patients on dialysis
Term
Epogen or Procit
Definition
Stimulates RBC production, increases in Hgb not seen for 2 to 3 weeks
Term
Aranesp
Definition
Longer acting erythropoietin
Term
0.9% NS
Definition
Isotonic, used to expand intravascular volume and replace extracellular fluid loss only solution with blood products maintanence solution
Term
D5W
Definition
Isotonic but physiologically hypotonic, used to replace water loss and treat hypernatremia, provides 170 calories/liter
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