Galen Cincinnati Pharm Exam 3 questions |\ |\ |\ |\ |\ |\
with answers |\
Furosemide - CORRECT ANSWERS ✔✔(class= loop diuretic)- |\ |\ |\ |\ |\ |\
potassium wasting-need potassium supplement |\ |\ |\
Therapeutic use=treat HF, HTN (hypertension), peripheral
|\ |\ |\ |\ |\ |\ |\
edema
Side effects: nausea, diarrhea, electrolyte imbalance, muscle
|\ |\ |\ |\ |\ |\ |\ |\
cramps, HA |\
Adverse: Hypokalemia (muscle cramps, leg cramps), orthostatic
|\ |\ |\ |\ |\ |\ |\ |\
hypotension |\
|\ Take with food, eat foods high in potassium
|\ |\ |\ |\ |\ |\ |\
Nursing process: drug history, vital signs, weight, urine output
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(<30ml/hr or less 600ml/day), monitor labs, take in the am, rise
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
slowly
|\ Increased chance of Digoxin toxicity=hypokalemia increases risk
|\ |\ |\ |\ |\ |\
|\ of toxicity
|\
Spironolactone - CORRECT ANSWERS ✔✔( class= potassium |\ |\ |\ |\ |\ |\ |\
sparing diuretic) |\ |\
therapeutic use =peripheral & pulmonary edema, hypertension,
|\ |\ |\ |\ |\ |\ |\ |\
HF
|\ side effects: N&V, diarrhea, HA, weakness, muscle cramps
|\ |\ |\ |\ |\ |\ |\
|\ No need for potassium supplements
|\ |\ |\ |\
At risk for hyperkalemia-monitor (this is a severe adverse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reaction)
, |\ Adverse: hepatotoxicity |\
Nursing process: drug history, vital signs, weight, urinary output
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(<30ml/hr or <600ml/day report), signs and symptoms of
|\ |\ |\ |\ |\ |\ |\ |\
hyperkalemia, give in the am, avoid foods high in potassium, |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
take with or after meals, avoid sunlight
|\ |\ |\ |\ |\ |\
Hydrochlorothiazide - CORRECT ANSWERS ✔✔(class =Thiazide |\ |\ |\ |\ |\ |\
diuretic)
|\ Therapeutic effect=increase urine output and treat HTN , edema |\ |\ |\ |\ |\ |\ |\ |\
|\
|\ Dig toxicity if hypokalemia with thiazide
|\ |\ |\ |\ |\
|\ Side effects: muscle cramps, dizziness, HA, N&V, diarrhea
|\ |\ |\ |\ |\ |\ |\
|\ Adverse: orthostatic hypotension, hyponatremia,(low sodium)
|\ |\ |\ |\
|\ Nursing process: vital signs, weight, urine output, labs, check for
|\ |\ |\ |\ |\ |\ |\ |\ |\
|\ pitting edema, |\
Emphasize adherence, take in the am, no herbals, rise slowly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
when changing positions, eat foods rich in potassium, take with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
food
Mannitol - CORRECT ANSWERS ✔✔(class=Osmotic diuretic)
|\ |\ |\ |\ |\
|\ therapeutic use/effect=decrease ICP and IOP |\ |\ |\ |\ |\
|\ side effects: fluid and electrolyte imbalance, N&V, tachycardia
|\ |\ |\ |\ |\ |\ |\
|\ Diuresis occurs 1-3 hours after given by IV route
|\ |\ |\ |\ |\ |\ |\ |\
|\ Do not use with heart disease, HF
|\ |\ |\ |\ |\ |\
Metoprolol - CORRECT ANSWERS ✔✔(class= beta blocker) |\ |\ |\ |\ |\ |\ |\
with answers |\
Furosemide - CORRECT ANSWERS ✔✔(class= loop diuretic)- |\ |\ |\ |\ |\ |\
potassium wasting-need potassium supplement |\ |\ |\
Therapeutic use=treat HF, HTN (hypertension), peripheral
|\ |\ |\ |\ |\ |\ |\
edema
Side effects: nausea, diarrhea, electrolyte imbalance, muscle
|\ |\ |\ |\ |\ |\ |\ |\
cramps, HA |\
Adverse: Hypokalemia (muscle cramps, leg cramps), orthostatic
|\ |\ |\ |\ |\ |\ |\ |\
hypotension |\
|\ Take with food, eat foods high in potassium
|\ |\ |\ |\ |\ |\ |\
Nursing process: drug history, vital signs, weight, urine output
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(<30ml/hr or less 600ml/day), monitor labs, take in the am, rise
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
slowly
|\ Increased chance of Digoxin toxicity=hypokalemia increases risk
|\ |\ |\ |\ |\ |\
|\ of toxicity
|\
Spironolactone - CORRECT ANSWERS ✔✔( class= potassium |\ |\ |\ |\ |\ |\ |\
sparing diuretic) |\ |\
therapeutic use =peripheral & pulmonary edema, hypertension,
|\ |\ |\ |\ |\ |\ |\ |\
HF
|\ side effects: N&V, diarrhea, HA, weakness, muscle cramps
|\ |\ |\ |\ |\ |\ |\
|\ No need for potassium supplements
|\ |\ |\ |\
At risk for hyperkalemia-monitor (this is a severe adverse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reaction)
, |\ Adverse: hepatotoxicity |\
Nursing process: drug history, vital signs, weight, urinary output
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(<30ml/hr or <600ml/day report), signs and symptoms of
|\ |\ |\ |\ |\ |\ |\ |\
hyperkalemia, give in the am, avoid foods high in potassium, |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
take with or after meals, avoid sunlight
|\ |\ |\ |\ |\ |\
Hydrochlorothiazide - CORRECT ANSWERS ✔✔(class =Thiazide |\ |\ |\ |\ |\ |\
diuretic)
|\ Therapeutic effect=increase urine output and treat HTN , edema |\ |\ |\ |\ |\ |\ |\ |\
|\
|\ Dig toxicity if hypokalemia with thiazide
|\ |\ |\ |\ |\
|\ Side effects: muscle cramps, dizziness, HA, N&V, diarrhea
|\ |\ |\ |\ |\ |\ |\
|\ Adverse: orthostatic hypotension, hyponatremia,(low sodium)
|\ |\ |\ |\
|\ Nursing process: vital signs, weight, urine output, labs, check for
|\ |\ |\ |\ |\ |\ |\ |\ |\
|\ pitting edema, |\
Emphasize adherence, take in the am, no herbals, rise slowly
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
when changing positions, eat foods rich in potassium, take with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
food
Mannitol - CORRECT ANSWERS ✔✔(class=Osmotic diuretic)
|\ |\ |\ |\ |\
|\ therapeutic use/effect=decrease ICP and IOP |\ |\ |\ |\ |\
|\ side effects: fluid and electrolyte imbalance, N&V, tachycardia
|\ |\ |\ |\ |\ |\ |\
|\ Diuresis occurs 1-3 hours after given by IV route
|\ |\ |\ |\ |\ |\ |\ |\
|\ Do not use with heart disease, HF
|\ |\ |\ |\ |\ |\
Metoprolol - CORRECT ANSWERS ✔✔(class= beta blocker) |\ |\ |\ |\ |\ |\ |\
