_______ and _________ both identify safety in practice as a
major aim correct answers ANA and IOM (institute of
medicine)
__________ compounds cause constipation
_____________ compounds cause diarrhea correct answers
aluminum; magnesium
(Urinary elimination)
body eliminates waste via 4 systems: correct answers
Respiratory
Integumentary
Gastrointestinal
Urinary
1.) Thiazide and thiazide like Duiretic correct answers Among
most frequently used
Measurement of all fluids in/out
Acts on the distal tubule in nephron
Little increase in volume of urine - but prevents reabsorption of
sodium & chloride into the vascular system
Used to manage hypertension
Example = Diuril (chlorothiazide) and Boom x (common for ppl
with congestive heart failure)
,2.) Loop diuretics correct answers Work on the loop of Henle in
nephron
Causes a greater degree of diuresis (passage of urine) than other
diuretics (more rapid).
Urine passed is sodium rich
Drug of choice when rapid/extensive diuresis is necessary
Loss of potassium may be
problematic
Most potent of diuretics
Example = Lasix (furosemide)
3.) Carbonic Anhydrase Inhibitors correct answers Work on the
proximal tubules
Relatively mild diuretic
Used as an adjunct to other diuretics
Causes sodium & bicarbonate to be excreted in urine
Most often used in treatment of glaucoma (too much pressure in
eyes so it dries the person out; trying to make person dehydrated
by pulling fluid out of other parts of the body)
,Example - Diamox (acetazolamide)
4. Potassium Sparing Diuretic correct answers Works in distal
tubule & collecting duct
Causes loss of sodium but promotes retention of potassium
Not a powerful as the loop diuretics
Used in patients who are high risk for loss of potassium
May be used as adjunct to others
Drug of choice for selected people with liver cirrhosis
Example = Aldactone (spironolactone)
5 classes of diuretics correct answers Work a different sites in
the nephron or use a different mechanism of action (857, Karch)
Some side effects may occur with the varying classes of
diuretics but most common are: GI upset, Fluid/electrolyte
imbalance, hypotension, electrolyte disturbance
1.)thiazide
2.) loop
3.) Carbonic Anhydrase Inhibitors
4. Potassium Sparing Diuretic
5. Osmotic Diuretics
, 5. Osmotic Diuretics correct answers Works at the renal tubule
to pull water into tubule from intravascular space
Increase volume of fluid produced by kidneys
Danger of sudden change in fluid volume
Usually used in acute situations such as to decrease intraocular
pressure or before eye surgery, or cranial pressure
Used to push toxic substances through kidneys
Drug of choice for increased cranial pressure
extreme emergency measure (have to have catheter in because it
takes so much fluid out)
Example= Mannitol -(Osmitrol) powerful
A lot of blood passes through kidneys correct answers kidneys
and nephrons Play a key role in fluid/electrolyte balance
a sterile object or field becomes contaminated by prolonged
exposure to air correct answers true
a sterile object or sterile field ________________ is considered
contaminated correct answers out of the range of vision
A Word on Causes of Constipation correct answers Irregular
bowel habits- ignoring urge to defecate