NURS 3119 Diuretics and Electrolytes Exam 4
With Solution
What are Nursing Interventions for Patients on Diuretics? - ANSWER
>Baseline and ongoing assessments - weight, VS, I/O, electrolytes, and other
labs (glucose, LFT's, cholesterol)
>Teach about signs of electrolyte imbalance - especially potassium
>Teach about signs of fluid imbalance - watch for dehydration
>Generally given early in the day, especially patients getting regular doses
>Consider foley catheter in patients who are immobile
>Diuretic meds are a notch in the fall scale
What are Classifications of Diuretic Medications? - ANSWER >Loop diuretics
>Thiazide diuretic
>Potassium sparing diuretics
>Osmotic diuretics
What are Examples of Loop Diuretics? - ANSWER >Furosemide
>Bumetanide
>Ethacrynic acid
, >Torsemide
What are Examples of Thiazide Diuretics? - ANSWER Hydrochlorothiazide
(others that end in thiazide)
What are Examples of Potassium Sparing Diuretics? - ANSWER
>Spironolactone
>Triamterene
>Amiloride
What are Examples of Osmotic Diuretics? - ANSWER Mannitol
What is the Mechanism of Action of Loop Diuretics? - ANSWER Block
reabsorption of Na and Cl to prevent reabsorption of water
What are the Uses of Loop Diuretics? - ANSWER When we need to excrete
larger amounts of fluid
>Pulmonary edema, advanced CHF
>Conditions not responsive to other diuretics (loops are not the first line
drug for everyday treatment)
With Solution
What are Nursing Interventions for Patients on Diuretics? - ANSWER
>Baseline and ongoing assessments - weight, VS, I/O, electrolytes, and other
labs (glucose, LFT's, cholesterol)
>Teach about signs of electrolyte imbalance - especially potassium
>Teach about signs of fluid imbalance - watch for dehydration
>Generally given early in the day, especially patients getting regular doses
>Consider foley catheter in patients who are immobile
>Diuretic meds are a notch in the fall scale
What are Classifications of Diuretic Medications? - ANSWER >Loop diuretics
>Thiazide diuretic
>Potassium sparing diuretics
>Osmotic diuretics
What are Examples of Loop Diuretics? - ANSWER >Furosemide
>Bumetanide
>Ethacrynic acid
, >Torsemide
What are Examples of Thiazide Diuretics? - ANSWER Hydrochlorothiazide
(others that end in thiazide)
What are Examples of Potassium Sparing Diuretics? - ANSWER
>Spironolactone
>Triamterene
>Amiloride
What are Examples of Osmotic Diuretics? - ANSWER Mannitol
What is the Mechanism of Action of Loop Diuretics? - ANSWER Block
reabsorption of Na and Cl to prevent reabsorption of water
What are the Uses of Loop Diuretics? - ANSWER When we need to excrete
larger amounts of fluid
>Pulmonary edema, advanced CHF
>Conditions not responsive to other diuretics (loops are not the first line
drug for everyday treatment)
