NUR 521 EXAM 2 EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+
Spironolactone produces scanty diuresis because... -
ANSWERS-most NA has already been reabsorbed before
reaching the distal nephron
Spironolactone used with - ANSWERS-Used with HTN,
edema, CHF (blocking aldosterone creates protective
effects), used in combination to counteract K wasting drugs
Spironolactone dosing - ANSWERS-25, 50, 100mg tablets,
25-200mg per day
Spironolactone works in - ANSWERS-48 hours (delayed
effects)
,Spironolactone off label uses - ANSWERS-Off-label uses
include acne, hair loss, hirsutism, hormone therapy for
transgender females
Spironolactone adverse effects - ANSWERS-adverse effects
are hyperkalemia (dysrhythmia), endocrine effects
(gynecomastia, menstrual irregularities, impotence,
hirsutism, deep voice)
Spironolactone BBW - ANSWERS-BBW shown to cause
tumors in rats
Furosemide BBW - ANSWERS-BBW can cause profound
diuresis with water and electrolyte depletion
Spironolactone interactions - ANSWERS-Caution with k
supplements or k sparing drugs (ACE-I. ARBs, Direct renin
inhibitors)
Triamterene - ANSWERS-Dyrenium
Triamterene drug class - ANSWERS-Non aldosterone
antagonist potassium sparing diuretic
,Triamterene MoA - ANSWERS-Disrupts NA-K exchange in the
distal nephron by direct inhibition, Na excretion is increased
and K is conserved, minimal diuresis
Triamterene Dose - ANSWERS-50mg, 100mg works in a few
hours
Triamterene contraindications - ANSWERS-Contraindicated
with elevated K levels, caution with k sparing diuretics, k
supplements, ACE-I, ARBS, Direct renin inhibitor
Triamterene BBW - ANSWERS-BBW Hyperkalemia
Triamterene adverse effects - ANSWERS-Hyperkalemia, N, V,
Dizziness, Blood dyscrasias are rare
Triamterene Patient Education - ANSWERS-AE, restrict K rich
foods
Ototoxicity - ANSWERS-ringing in the ears, hearing loss,
balance problems
, Hyperkalemia symptoms - ANSWERS-heart palpitations,
shortness of breath, chest pain, nausea, vomiting
Hypotension symptoms - ANSWERS-Blurred vision,
confusion, dizziness, fainting, lightheadedness, sleepiness,
weakness, N, V
Normal BP - ANSWERS-less than 120/80
Elevated BP - ANSWERS-120-129/less than 80
Stage 1 hypertension - ANSWERS-130-139/80-89
Stage 2 Hypertension - ANSWERS-greater than or equal to
140/90
Primary Hypertension - ANSWERS-no identifiable cause,
diagnosis is made by ruling out probable specific causes,
chronic, progressive disorder
Secondary Hypertension - ANSWERS-brought on by an
identifiable cause, possible to treat cause directly
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+
Spironolactone produces scanty diuresis because... -
ANSWERS-most NA has already been reabsorbed before
reaching the distal nephron
Spironolactone used with - ANSWERS-Used with HTN,
edema, CHF (blocking aldosterone creates protective
effects), used in combination to counteract K wasting drugs
Spironolactone dosing - ANSWERS-25, 50, 100mg tablets,
25-200mg per day
Spironolactone works in - ANSWERS-48 hours (delayed
effects)
,Spironolactone off label uses - ANSWERS-Off-label uses
include acne, hair loss, hirsutism, hormone therapy for
transgender females
Spironolactone adverse effects - ANSWERS-adverse effects
are hyperkalemia (dysrhythmia), endocrine effects
(gynecomastia, menstrual irregularities, impotence,
hirsutism, deep voice)
Spironolactone BBW - ANSWERS-BBW shown to cause
tumors in rats
Furosemide BBW - ANSWERS-BBW can cause profound
diuresis with water and electrolyte depletion
Spironolactone interactions - ANSWERS-Caution with k
supplements or k sparing drugs (ACE-I. ARBs, Direct renin
inhibitors)
Triamterene - ANSWERS-Dyrenium
Triamterene drug class - ANSWERS-Non aldosterone
antagonist potassium sparing diuretic
,Triamterene MoA - ANSWERS-Disrupts NA-K exchange in the
distal nephron by direct inhibition, Na excretion is increased
and K is conserved, minimal diuresis
Triamterene Dose - ANSWERS-50mg, 100mg works in a few
hours
Triamterene contraindications - ANSWERS-Contraindicated
with elevated K levels, caution with k sparing diuretics, k
supplements, ACE-I, ARBS, Direct renin inhibitor
Triamterene BBW - ANSWERS-BBW Hyperkalemia
Triamterene adverse effects - ANSWERS-Hyperkalemia, N, V,
Dizziness, Blood dyscrasias are rare
Triamterene Patient Education - ANSWERS-AE, restrict K rich
foods
Ototoxicity - ANSWERS-ringing in the ears, hearing loss,
balance problems
, Hyperkalemia symptoms - ANSWERS-heart palpitations,
shortness of breath, chest pain, nausea, vomiting
Hypotension symptoms - ANSWERS-Blurred vision,
confusion, dizziness, fainting, lightheadedness, sleepiness,
weakness, N, V
Normal BP - ANSWERS-less than 120/80
Elevated BP - ANSWERS-120-129/less than 80
Stage 1 hypertension - ANSWERS-130-139/80-89
Stage 2 Hypertension - ANSWERS-greater than or equal to
140/90
Primary Hypertension - ANSWERS-no identifiable cause,
diagnosis is made by ruling out probable specific causes,
chronic, progressive disorder
Secondary Hypertension - ANSWERS-brought on by an
identifiable cause, possible to treat cause directly
