Galen Pharm Exam 3 Test Questions and Answers Rated A
loop diuretic furosemide
furosemide clinical indication peripheral edema
Nausea, dizziness, electrolyte imbalance, muscle cramp-
Furosemide side ettects
ing, blurred vision
Hypokalemia, orthostatic hypotension, hyperglycemia,
Furosemide adverse reactions
hearing loss
Monitor serum potassium levels and additional elec-
trolytes, educate on s/s of hypokalemia, hyperglycemia.
Furosemide nursing considerations/ contraindications
Contraindicated in patients with Sulfa allergy. Caution with
diabetic patients, HF patients, hearing impaired
Potassium sparing diuretic Spirolactone
Sprironolactone clinical indication edema
Headache, muscle cramps, weakness, dizziness, GI dis-
Spironolactone side ettects
comfort
Pulmonary Edema,
Spironolactone adverse reactions
Hypertension, HF, ascites
Monitor serum potassium, teach patient s/s of hyper-
Spironolactone nursing considerations/contraindications kalemia. Contraindicated in patients with liver disease and
renal dysfunction
thiazide diuretic Hydrochlorothiazide
Hydrochlorothiazide clinical indication hypertension
Dizziness, headache, weakness, photosensitivity, muscle
Hydrochlorothiazide side ettects
cramps
Orthostatic hypotension, severe hypokalemia, hypona-
Hydrochlorothiazide adverse reactions
tremia
, Galen Pharm Exam 3 Test Questions and Answers Rated A
Monitor serum potassium level, Monitor liver and renal
Hydrochlorothiazide nursing considerations/ contraindi-
function. Contraindicated for patients with DM, and hx of
cations
hypotension
Osmotic Mannitol
Mannitol clinical indications Cerebral Edema and ICP
Mannitol side ettects Headache, blurred vision, dry mouth electrolyte imbalance
Mannitol adverse reactions Pulmonary edema, blood pressure, Renal failure
Use extreme caution in HF patients. Monitor I & O for
Mannitol nursign considerations/ patient teaching therapeutic response, Monitor vital signs for therapeutic
response
Alpha Adrenergic Blocker Prazosin
Prazosin clinical indication hypertension
Prazosin side ettects Dizziness, blurred vision, headache,
Orthostatic hypotension, Palpitations, elevated liver en-
Prazosin adverse reactions
zymes
Teach patient to change positions slowly, monitor liver
Prazosin nursing considerations/ contraindications enzymes, monitor I & O and edema in lower extremities.
Teach patient
Calcium channel blocker Nifedipine
Nifedipine clinical indications hypertension
Dizziness, headache, weakness, flushing and peripheral
Nifedipine side ettects
edema
Nifedipine adverse reactions Severe hypotension, MI Death, reflex tachycardia
Monitor vital signs, instruct patient to change positions
Nifedipine nursing considerations/ contraindications
slowly.
Cardiac Selective Beta Blocker metroprolol
loop diuretic furosemide
furosemide clinical indication peripheral edema
Nausea, dizziness, electrolyte imbalance, muscle cramp-
Furosemide side ettects
ing, blurred vision
Hypokalemia, orthostatic hypotension, hyperglycemia,
Furosemide adverse reactions
hearing loss
Monitor serum potassium levels and additional elec-
trolytes, educate on s/s of hypokalemia, hyperglycemia.
Furosemide nursing considerations/ contraindications
Contraindicated in patients with Sulfa allergy. Caution with
diabetic patients, HF patients, hearing impaired
Potassium sparing diuretic Spirolactone
Sprironolactone clinical indication edema
Headache, muscle cramps, weakness, dizziness, GI dis-
Spironolactone side ettects
comfort
Pulmonary Edema,
Spironolactone adverse reactions
Hypertension, HF, ascites
Monitor serum potassium, teach patient s/s of hyper-
Spironolactone nursing considerations/contraindications kalemia. Contraindicated in patients with liver disease and
renal dysfunction
thiazide diuretic Hydrochlorothiazide
Hydrochlorothiazide clinical indication hypertension
Dizziness, headache, weakness, photosensitivity, muscle
Hydrochlorothiazide side ettects
cramps
Orthostatic hypotension, severe hypokalemia, hypona-
Hydrochlorothiazide adverse reactions
tremia
, Galen Pharm Exam 3 Test Questions and Answers Rated A
Monitor serum potassium level, Monitor liver and renal
Hydrochlorothiazide nursing considerations/ contraindi-
function. Contraindicated for patients with DM, and hx of
cations
hypotension
Osmotic Mannitol
Mannitol clinical indications Cerebral Edema and ICP
Mannitol side ettects Headache, blurred vision, dry mouth electrolyte imbalance
Mannitol adverse reactions Pulmonary edema, blood pressure, Renal failure
Use extreme caution in HF patients. Monitor I & O for
Mannitol nursign considerations/ patient teaching therapeutic response, Monitor vital signs for therapeutic
response
Alpha Adrenergic Blocker Prazosin
Prazosin clinical indication hypertension
Prazosin side ettects Dizziness, blurred vision, headache,
Orthostatic hypotension, Palpitations, elevated liver en-
Prazosin adverse reactions
zymes
Teach patient to change positions slowly, monitor liver
Prazosin nursing considerations/ contraindications enzymes, monitor I & O and edema in lower extremities.
Teach patient
Calcium channel blocker Nifedipine
Nifedipine clinical indications hypertension
Dizziness, headache, weakness, flushing and peripheral
Nifedipine side ettects
edema
Nifedipine adverse reactions Severe hypotension, MI Death, reflex tachycardia
Monitor vital signs, instruct patient to change positions
Nifedipine nursing considerations/ contraindications
slowly.
Cardiac Selective Beta Blocker metroprolol
