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Hemodynamics - ANSWER the study of the movement of blood throughout the circulatory
system, along with the regulatory mechanisms and driving forces involved
Two primary functions of the circulatory system - ANSWER deliver oxygen, nutrients, hormones,
electrolytes, and other essentials to the cells, remove carbon dioxide and metabolic waste from
the cells (also helps fight infection)
Arteries - ANSWER Do not stretch very easily, large increase in pressure causes small increase in
diameter
Veins - ANSWER Stretch easily, small increase in pressure causes large increase in diameter
Formula for cardiac output - ANSWER HRxSV
Formula for Arterial pressure - ANSWER PRxCO
Nephron - ANSWER Basic functional unit of the kidney
Three basic functions of the kidneys - ANSWER Cleansing of ECF and maintenance of ECF
volume and composition, Maintenance of acid-base balance, excretion of metabolic wastes and
foreign substances
Diuretic Beers Criteria - ANSWER Use with caution in 65 years or older due to the potential to
exacerbate SIADH or hyponatremia, monitor sodium concentration closely
,Unsafe to use diuretics in - ANSWER Pregnant women, can cause maternal death, abortion, fetal
reabsorption
Safe to use diureticss - ANSWER Small doses with pediatric patients
Furosemide works in the - ANSWER Ascending limb of the loop of henle
Furosemide brand name - ANSWER Lasix
Furosemide MOA - ANSWER Produces profound diuresis
Blocks reabsorption of sodium and chloride, preventing reabsorption of water
Furosemide Use - ANSWER Used when rapid or massive mobilization of fluid is required
- pulmonary edema from CHF
- edema from heart, liver, kidney that has not responded to other medications
- HTN
Furosemide is especially useful in - ANSWER Especially useful in patients with severe renal
impairment because it can promote diuresis when GFR and renal blood flow are low
Furosemide can be combined with - ANSWER Can be combined with a thiazide diuretic
Furosemide starts working - ANSWER starts working in 60 minutes and lasts 8 hours
Furosemide goal - ANSWER goal is to decrease edema and treat HTN
, Furosemide caution - ANSWER Use with caution with CV disease, renal impairment, DM, Gout,
Pregnancy, Ototoxic drugs, NSAIDS, antihypertensives
Furosemide is a k... - ANSWER K wasting diuretic
Hypokalemia can cause - ANSWER can cause fatal dysrhythmia
Hypokalemia value - ANSWER Less than 3.5mEq/L
Furosemide adverse effects - ANSWER adverse effects include hyponatremia, hypochloremia,
hypotension, dehydration, hypokalemia, hyperglycemia, hyperuricemia, increase in LDL and
triglycerides, decrease in HDL, ototoxicity
Signs of dehydration - ANSWER signs include dry mouth, unusual thirst, oliguria
if dehydration or hypotension occurs with furosemide - ANSWER discontinue furosemide if this
occurs
Furosemide patient education - ANSWER Patient education is to monitor BP, s/s of postural
hypotension, K rich foods
Furosemide interacts with ... - ANSWER Digoxin, ototoxic drugs, K sparing diuretics, NSAIDS,
antihypertensives, lithium interacts with...
Drug class of Furosemide - ANSWER Loop diuretic example
Furosemide dose - ANSWER dose is 20, 40, 80mg daily or BID dosing