Galen pharm exam 3
Mannitol side effects - ANSWER-Headache, blurred vision, dry mouth electrolyte
imbalance
Mannitol adverse reactions - ANSWER-Pulmonary edema, blood pressure, Renal
failure
Mannitol nursign considerations/ patient teaching - ANSWER-Use extreme caution in
HF patients. Monitor I & O for therapeutic response, Monitor vital signs for therapeutic
response
Alpha Adrenergic Blocker - ANSWER-Prazosin
Prazosin clinical indication - ANSWER-hypertension
Prazosin side effects - ANSWER-Dizziness, blurred vision, headache,
Sprironolactone clinical indication - ANSWER-edema
Spironolactone side effects - ANSWER-Headache, muscle cramps, weakness,
dizziness, GI discomfort
Spironolactone adverse reactions - ANSWER-Pulmonary Edema,
Hypertension, HF, ascites
Spironolactone nursing considerations/contraindications - ANSWER-Monitor serum
potassium, teach patient s/s of hyperkalemia. Contraindicated in patients with liver
disease and renal dysfunction
thiazide diuretic - ANSWER-Hydrochlorothiazide
Hydrochlorothiazide clinical indication - ANSWER-hypertension
Hydrochlorothiazide side effects - ANSWER-Dizziness, headache, weakness,
photosensitivity, muscle cramps
Hydrochlorothiazide adverse reactions - ANSWER-Orthostatic hypotension, severe
hypokalemia, hyponatremia
loop diuretic - ANSWER-furosemide
furosemide clinical indication - ANSWER-peripheral edema
, Furosemide side effects - ANSWER-Nausea, dizziness, electrolyte imbalance, muscle
cramping, blurred vision
Furosemide adverse reactions - ANSWER-Hypokalemia, orthostatic hypotension,
hyperglycemia, hearing loss
Furosemide nursing considerations/ contraindications - ANSWER-Monitor serum
potassium levels and additional electrolytes, educate on s/s of hypokalemia,
hyperglycemia. Contraindicated in patients with Sulfa allergy. Caution with diabetic
patients, HF patients, hearing impaired
Potassium sparing diuretic - ANSWER-Spirolactone
Hydrochlorothiazide nursing considerations/ contraindications - ANSWER-Monitor
serum potassium level, Monitor liver and renal function. Contraindicated for patients
with DM, and hx of hypotension
Osmotic - ANSWER-Mannitol
Mannitol clinical indications - ANSWER-Cerebral Edema and ICP
Prazosin adverse reactions - ANSWER-Orthostatic hypotension, Palpitations, elevated
liver enzymes
Prazosin nursing considerations/ contraindications - ANSWER-Teach patient to change
positions slowly, monitor liver enzymes, monitor I & O and edema in lower extremities.
Teach patient
Calcium channel blocker - ANSWER-Nifedipine
Nifedipine clinical indications - ANSWER-hypertension
Nifedipine side effects - ANSWER-Dizziness, headache, weakness, flushing and
peripheral edema
Nifedipine adverse reactions - ANSWER-Severe hypotension, MI Death, reflex
tachycardia
Nifedipine nursing considerations/ contraindications - ANSWER-Monitor vital signs,
instruct patient to change positions slowly.
Cardiac Selective Beta Blocker - ANSWER-metroprolol
Mannitol side effects - ANSWER-Headache, blurred vision, dry mouth electrolyte
imbalance
Mannitol adverse reactions - ANSWER-Pulmonary edema, blood pressure, Renal
failure
Mannitol nursign considerations/ patient teaching - ANSWER-Use extreme caution in
HF patients. Monitor I & O for therapeutic response, Monitor vital signs for therapeutic
response
Alpha Adrenergic Blocker - ANSWER-Prazosin
Prazosin clinical indication - ANSWER-hypertension
Prazosin side effects - ANSWER-Dizziness, blurred vision, headache,
Sprironolactone clinical indication - ANSWER-edema
Spironolactone side effects - ANSWER-Headache, muscle cramps, weakness,
dizziness, GI discomfort
Spironolactone adverse reactions - ANSWER-Pulmonary Edema,
Hypertension, HF, ascites
Spironolactone nursing considerations/contraindications - ANSWER-Monitor serum
potassium, teach patient s/s of hyperkalemia. Contraindicated in patients with liver
disease and renal dysfunction
thiazide diuretic - ANSWER-Hydrochlorothiazide
Hydrochlorothiazide clinical indication - ANSWER-hypertension
Hydrochlorothiazide side effects - ANSWER-Dizziness, headache, weakness,
photosensitivity, muscle cramps
Hydrochlorothiazide adverse reactions - ANSWER-Orthostatic hypotension, severe
hypokalemia, hyponatremia
loop diuretic - ANSWER-furosemide
furosemide clinical indication - ANSWER-peripheral edema
, Furosemide side effects - ANSWER-Nausea, dizziness, electrolyte imbalance, muscle
cramping, blurred vision
Furosemide adverse reactions - ANSWER-Hypokalemia, orthostatic hypotension,
hyperglycemia, hearing loss
Furosemide nursing considerations/ contraindications - ANSWER-Monitor serum
potassium levels and additional electrolytes, educate on s/s of hypokalemia,
hyperglycemia. Contraindicated in patients with Sulfa allergy. Caution with diabetic
patients, HF patients, hearing impaired
Potassium sparing diuretic - ANSWER-Spirolactone
Hydrochlorothiazide nursing considerations/ contraindications - ANSWER-Monitor
serum potassium level, Monitor liver and renal function. Contraindicated for patients
with DM, and hx of hypotension
Osmotic - ANSWER-Mannitol
Mannitol clinical indications - ANSWER-Cerebral Edema and ICP
Prazosin adverse reactions - ANSWER-Orthostatic hypotension, Palpitations, elevated
liver enzymes
Prazosin nursing considerations/ contraindications - ANSWER-Teach patient to change
positions slowly, monitor liver enzymes, monitor I & O and edema in lower extremities.
Teach patient
Calcium channel blocker - ANSWER-Nifedipine
Nifedipine clinical indications - ANSWER-hypertension
Nifedipine side effects - ANSWER-Dizziness, headache, weakness, flushing and
peripheral edema
Nifedipine adverse reactions - ANSWER-Severe hypotension, MI Death, reflex
tachycardia
Nifedipine nursing considerations/ contraindications - ANSWER-Monitor vital signs,
instruct patient to change positions slowly.
Cardiac Selective Beta Blocker - ANSWER-metroprolol
