FULL QUESTIONS WITH COMPLETE
SOLUTIONS
◉ Diuretic drugs. Answer: Thiazides - Hydrochlorothiazide
loop diuretics - furosemide
◉ diuretic contraindications. Answer: renal failure
diabetes mellitus (thiazides) may alter BS
increase in digitalis toxicity
loop diuretics - increase bleeding with anticoagulants, increase
potassium loss with steroids
◉ Diuretics adverse reactions. Answer: Electrolyte imbalance
Dizziness
Weakness
Nausea, Vomiting
Diarrhea
Dehydration
Hypotension
,◉ Potassium sparing diuretic use. Answer: edema and fluid
retention
congestive heart failure
hepatic cirrhosis
kidney disease
◉ Potassium sparing diuretic contraindications. Answer: sever
kidney or hepatic disease
caution with DM
no potassium supplements
Hyperkalemia if given with ACE inhibitors
◉ Potassium sparing diuretic adverse reactions. Answer:
Hyperkalemia
N/V
Diarrhea
Weakness
HA
Dry mouth
Photosensitivity
◉ osmotic and carbonic anhydrase inhibitors use. Answer: ICP
,Cerebral edema
increased ocular pressure
acute glaucoma
◉ osmotic and carbonic anhydrase inhibitors contraindications.
Answer: pregnancy (first trimester)
caution with heart disease
◉ osmotic and carbonic anhydrase inhibitors adverse reactions.
Answer: fluid and electrolyte imbalance
Pulmonary edema
N.V
Acidosis
Confusion
Orthostatic hypotension
◉ osmotic drug. Answer: Osmitrol
◉ carbonic anhydrase inhibitors drug. Answer: Acetazolamide
◉ potassium sparing drug. Answer: Triamterene
Spironolactone
, ◉ Diuretic assessment. Answer: vital signs
weight
urine output
serum electrolytes
presence of edema (pitting or non-pitting)
lung sounds
history of drug use
liver and kidney function
For osmotic and carbonic anhydrase inhibitors, assess intracranial
pressure
◉ Diuretic monitoring. Answer: vital signs
electrolyte levels
glucose levels
signs and symptoms of electrolyte imbalance
daily weights
adverse reactions
intake and output