Term
Name 4 adverse reactions to diuretics |
|
Definition
- orthostatic hypotension
- electrolyte imbalances
- rash
- photosensitivity
|
|
|
Term
|
Definition
|
|
Term
adverse reactions to Lasix a loop diuretic
name 5 |
|
Definition
- electrolyte imbalances
- photosensitivity
- hypotension
- ototoxicity
|
|
|
Term
Loop diuretics can cause electrolyte imbalances: decreased (k+) and hypotension, what do you monitor?
name 3 |
|
Definition
|
|
Term
|
Definition
|
|
Term
Mannitol (Osmitrol) is used to reduce what?
name 3 |
|
Definition
- intracranial pressure (ICP)
- IOP
- cerebral edema
|
|
|
Term
k+ sparing diuretics result in potassium retention,
name 2K+ sparing drugs |
|
Definition
-
Triamterene (Dyrenium)
-
Sprinolactone (Aldactone)
|
|
|
Term
what is a condition caused by Spironolatone (Aldactone) |
|
Definition
|
|
Term
Mannitol is used for a pt with increased intracranial pressure, what are important NCs with this drug?
name 3 |
|
Definition
- Strict I & O - monitor urine output HOURLY
- Monitor B/P, P and Resp. every 30-60 minutes
- Neurological assessments
|
|
|
Term
warning signs for electrolyte imbalance
name 7 |
|
Definition
- dry mouth
- thirst
- restlessness
- muscle pains
- cramps
- hypotension
- tachycardia
|
|
|
Term
normal sodium level is 135-145 mEq/L
name a symtpotm of Hyponatremia |
|
Definition
|
|
Term
|
Definition
|
|
Term
signs of hyperkalemia >5
name 2 |
|
Definition
- muscle weakness
- EKG abnormalities
|
|
|
Term
what can a pt do if GI upset occurs when taking diuretics |
|
Definition
|
|
Term
what time of day should diuretics be taken |
|
Definition
|
|
Term
what drug lowers IOP by decreasing the production of acqueous humor |
|
Definition
Diamox, a carbonic anhydrase inhibitor |
|
|
Term
what is the most common structure affected by urinary infection, what is the name of the condition |
|
Definition
|
|
Term
|
Definition
- urgency
- frequency
- pressure
- burning on urination
- pain caused by spasm in the region of the bladder and suprapubic area
|
|
|
Term
name 4 urinary anti-infectives |
|
Definition
- Hiprex, Mandelamine (Methenamine)
- NegGram (nalidixic acid)
- Macrobid, Macrodantin (nitrofurantoin)
- Bactrim (trimethoprim and sulfamethoxazole)
|
|
|
Term
what medication is contraindicated in seizure disorders |
|
Definition
|
|
Term
what anti-infective medication should not be taken by pts allergic to tartrazine (a food dye) |
|
Definition
|
|
Term
which anti-infective can cause pulmonary acute and chronic respiratory problems |
|
Definition
Nitrofurantoin (Macrodantin) |
|
|
Term
Name 2 anti-infectives that can cause crystaluria |
|
Definition
- Bactrim (trimethoprim sulfamethoxaxole)
- Cipro (Ciprofloxacin)
|
|
|
Term
what drug can cause pancytopenia |
|
Definition
Trimethoprim sulfamethoxazole (Bactrim) |
|
|
Term
|
Definition
reduced: WBC, RBC and platelets |
|
|
Term
which medication can turn your urine blue |
|
Definition
Methenamine (Hiprex, Mandelamine, Urex) |
|
|
Term
which drug has pulmonary side effects of:
dyspnea, chest pain, chills, fever, cough, alveolar infiltrates, pulmonary fibrosis |
|
Definition
Nitrofurantoin (Macrodantin) |
|
|
Term
which drug can cause brown urine |
|
Definition
Nirofurantoin ( Macrobid, Macrodantin) |
|
|
Term
which class of anti-infectives can cause crystalluria? |
|
Definition
|
|
Term
what class of anti-infectives have the side effect of photosensitivitiy |
|
Definition
sulonamides - trimethoprim-sulfamethoxazole (Bactrim) |
|
|
Term
sulfonamides (Bactrim) can cause pancytopenia, what symptoms need to be reported
|
|
Definition
sore thoat, fever
monitor CBC |
|
|
Term
sulfonamides can change urine to what color |
|
Definition
|
|
Term
how does cranberry juice can assist with bacteria infection |
|
Definition
it acidifies the urine -
bacteria does not grow in an acidic environment |
|
|
Term
adverse reactions of anitcholinergic drugs
name 5 |
|
Definition
- dry mouth
- drowsiness
- constipation
- urinary hesitancy
- mental confusion
|
|
|
Term
anticholinergics are contraindicated in pts with
name 2 conditions |
|
Definition
- glaucoma
- intestinal or gastric blockage
|
|
|
Term
Anticholinergics/Antispasmodic drugs
name 3 |
|
Definition
- urispas (flavoxate)
- Ditorpan (oxybutynin)
- Detrol (tolterodine)
|
|
|
Term
name 4 side effects of Urispas (flavoxate) |
|
Definition
- dry mouth
- blurred vision
- urinary retention
- drowsiness
|
|
|
Term
how does Detrol and Detrol LA reduce urinary incontinence, urgency and frequency |
|
Definition
by controlling bladder contractions |
|
|
Term
anticholinergics/antisposmotics may cause dizziness or drowsiness pts should avoid |
|
Definition
|
|
Term
what drug is used to increase bladder tone and function and to treat urinary retention |
|
Definition
Bethanechol chloride (Urecholine)
a urinary cholinergic |
|
|
Term
Bethanechol chloride (Urecholine) side effect: |
|
Definition
hypotension, change positions slowly |
|
|
Term
what is the antidote for cholinergic overdose |
|
Definition
|
|
Term
what medication is a urinary tract analgesic used to treat pain from UTI or infection |
|
Definition
Phenazopyridine hydrochloride (Pyridium) |
|
|
Term
how do phosphate binders work |
|
Definition
binds intestinal phosphate that is eliminated in feces |
|
|
Term
what pts take phospate binders |
|
Definition
pts with end stage renal disease - to reduce the serum phosphorous levels |
|
|
Term
name 2 phosphate binder drugs |
|
Definition
- Basaljel
- Sevelamer hydrochloride (Renagel)
|
|
|
Term
Nursing considerations for phosphate binders |
|
Definition
- take with the 1st bite of food
- do not administer other meds concurrently with Amphojel, separate by at least 1 hour
|
|
|
Term
potassium binder - Sodium polystryrene sulfonate (Kayexalate) works by... |
|
Definition
promoting potassium excretion and sodium absorptrion, primarily in the large intestines |
|
|
Term
what is an expected side effect of Magnesium supplements
name 3 |
|
Definition
-
hypersolmnolence (sleepy)
-
hot flashes
-
lethargy
|
|
|
Term
how do you monitor pt taking magnesium supplements for toxicity |
|
Definition
assess pt for depressed or absent deep tendon reflexes |
|
|
Term
what are immunosuppressants used for
name 2 |
|
Definition
- autoimmune disorders
- prevent organ rejection; life long therapy
|
|
|
Term
what are pts taking immunosuppresants at risk for |
|
Definition
infection - fever and/or sore throat |
|
|
Term
cytotoxic immunosupressant (Imuran) can cause bone marrow suppression what do we monitor for |
|
Definition
Neutropenia - decrease WBC
AND
thrombocytopenia
|
|
|