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NUR 328 Exam 3 Questions with Correct Answers 100% Pass

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NUR 328 Exam 3 Questions with Correct Answers 100% Pass

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NUR 328 Exam 3 Questions with

Correct Answers 100% Pass


basic diuretics MOAs - CORRECT ANSWER-block Na+ and Cl- reabsorption,

increase urine output

three basic renal processes - CORRECT ANSWER-filtration, reabsorption, active

tubular secretion

What can be reabsorbed in the nephron? - CORRECT ANSWER-99% of water,

nutrients, and electrolytes, and any laid soluble drugs are reabsorbed back in to the

blood stream .

Where does tubular secretion occur? - CORRECT ANSWER-The proximal

convoluted tubule

What is actively secreted in the PCT? - CORRECT ANSWER-Organic acid and

bases, drugs are secreted from blood to urine

Sites of Action of Diuretics - CORRECT ANSWER-PCT(65%), ascending

LofH(20%), and DCT(10% early, 5-1% in distal)

Classifications of Diuretics - CORRECT ANSWER-Loop, Thiazides, K+ sparing,

Osmotic, Carbonic Anhydrase inhibitors

,Loop Diuretics - CORRECT ANSWER-furosemide, bumetanide, torsemide,

ethacrynic acid

Saying for Loop Diuretics - CORRECT ANSWER-Furry Bums Tour Ecstasy

Furosemide (Lasix) MOA - CORRECT ANSWER-Block Na+/Cl- reabsorption in

the ascending LofH, which causes increased H20 excretion(urine)

Therapeutic Use of Furosemide - CORRECT ANSWER-Pulmonary , hepatic,

cardiac, and renal edema, HTN, low renal blood flow/GFR(kidney failure)

Adverse effects of Furosemide - CORRECT ANSWER-Hypo(Na, Cl, K, Mg,

Ca+), hyperglycemia, hyperuricemia, hypotension, ototoxicity(high doses and is

reversible), lipid change low HDL.

What must you monitor with Furosemide? - CORRECT ANSWER-Blood

pressure, urine output, and weight

Drug interactions of Furosemide - CORRECT ANSWER-Digoxin, ototoxic drugs,

K+ sparring, lithium, antihypertensive drugs, NSAIDSf

Thiazides - CORRECT ANSWER-Hydrochlorothiazide, Chlorothiazide,

methyclothiazide, chlorthalidone, Indapamide, metolazone

Saying for Thiazide Drugs - CORRECT ANSWER-HideYour, Methy, 2Children,

Inda, Me

MOA of thiazides - CORRECT ANSWER-Blocks NA/Cl reabsorption in the

early DCT(10%=lower diuresis than Loop Diuretics)


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,Are thiazides effective with GFR? - CORRECT ANSWER-No, they can't be used

for patients with kidney damage

TU of Thiazides and related diuretics - CORRECT ANSWER-Essential

HTN(predisposed, or overweight) AND edema

Adverse Effects of Thiazides - CORRECT ANSWER-HYPO(Na, CL, K, Mg, ),

HypoVOLemia, HYPER:glycemia, uricemia, and calcemia

Increases Bad Cholesterol and TG

Drug Interactions of Thiazides - CORRECT ANSWER-Digoxin, antihypertensive

drugs, lithium toxicity, NSAIDS, CAN be used with Ototoxic drugs

Potassium Sparing Drugs: Aldosterone Antagonist - CORRECT ANSWER-

Spironolactone

Potassium Sparing Drugs: Non-Aldosterone Antagonist - CORRECT ANSWER-

Triamterene, Amiloride

How to remember K+ Sparing Alodsterone Antagonist - CORRECT ANSWER-

SPARING and SPIRO

Saying for Non-Aldosterone Antagonists - CORRECT ANSWER-Titties

AmIRight

MOA: Spironolactone - CORRECT ANSWER-Indirect K+ retention and increase

sodium excretion by blocking aldosterone action in distal DCT. Late onset due to

only affecting new transport proteins

, Therapeutic Use of Spironolactone - CORRECT ANSWER-HTN, edemas state,

HF, hyperaldosteronism, PMS, PCOS, Acne

Adverse Effects of Sprinolactone - CORRECT ANSWER-HYPER K+, Mimic

other sex hormone, gynomastia

Drug Interactions Sprinolactone - CORRECT ANSWER-Can counteract K+ loss

of Loop and Thiazides, and other drugs increasing K+ levels(ACEI, ARBS, and

DRI), Potassium supplements, and salt substitutes

Triamterene MOA - CORRECT ANSWER-DIRECT disruption of Na/K

exchange at DCT. Effects happen immediately. Causes low sodium reabsorption

and decreased K+ secretion

Therapeutic Use of Non-aldosterone K+ sparing - CORRECT ANSWER-HTN

and Edema

Adverse effects triamterene - CORRECT ANSWER-Hyperkalemia, leg cramps,

NA/V, dizziness

Osmotic Diuretics - CORRECT ANSWER-Mannitol

Mannitol MOA - CORRECT ANSWER-Promotes diuresis by creating osmotic

force of lumen, must be given IV, no effect on patient sugar levels

Therapeutic Use of Mannitol - CORRECT ANSWER-Prophylaxisis of renal

failure, ICP, IOP

Adverse effects of Mannitol - CORRECT ANSWER-Edema


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