Term
DRUG CLASS: Loop Diuretic Furosemide (Lasix) Action |
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Definition
Acts primarily on the ascending limb of the loop of Henle but also on the proximal and distal portions of the tubule to prevent sodium and chloride reabsorption. Results in enhanced excretion of sodium, chloride, potassium, hydrogen, calcium, magnesium, ammonium, bicarbonate, and possible phosphate. |
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Term
DRUG CLASS: Loop Diuretic Furosemide (Lasix) USES |
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Definition
Treats edema caused by heart failure. Also treats hypertension alone or in combination with other antihypertensive therapy. |
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DRUG CLASS: Loop Diuretic Furosemide (Lasix) Implementation |
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Definition
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DRUG CLASS: Loop Diuretic Furosemide (Lasix) Side Effects To Expect |
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Definition
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Term
DRUG CLASS: Loop Diuretic Furosemide (Lasix) Side Effects to Report |
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Definition
Electrolyte Imbalance, Dehydration. (electrolytes most commonly altered are potassium, sodium and chloride.) Hypokalemia is most likely to occur. Hyperuricemia Hyperglycemia Hives, pruritus, rash.
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Term
DRUG CLASS: Loop Diuretic Furosemide (Lasix) Nursing Considerations |
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Definition
Obtain baseline vital signs before therapy. Patients with diabetes require baseline blood glucose levels. DO NOT administer after midafternoon to avoid nocturia. Administer with food or milk to reduce gastric irritation. Monitor Intake Out put Monitor for electrolyte imbalance, dehydration Monitor for digitalis toxicity if given with Digoxin.
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Term
DRUG CLASS: Thiazide Diuretics ACTION
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Definition
Thiazideds act primarily on the distal tubules of the kidney to block the reabsorption of sodium and chloride ions from the tubule. The unreabsorbed sodium and chloride ions are passed into the collecting ducts, taking molecules of water with them, thus resulting in diuresis.
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Term
DRUG CLASS: Thiazide Diuretics USES
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Definition
Antihypertensive properties of the thiazides result from a direct vasodilatory action on the peripheral arterioles.
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Term
DRUG CLASS: Thiazide Diuretics THERAPEUTIC OUTCOME
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Definition
- Diuresis with reduction of edema and improvement in symptoms related to excessive fluid accumulation
- Reduction in elevated blood pressure
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Term
DRUG CLASS: Thiazide Diuretics IMPLEMENTATION
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Definition
- DO NOT administer after midafternoon to prevent nocturia
- Administer with food or milk to reduce gastric irritation.
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Term
DRUG CLASS: Thiazide Diuretics Side Effects To Expect
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Definition
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Term
DRUG CLASS: Thiazide Diuretics Side Effects To Report
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Definition
- Gastric Irritation, Nausea, Vomiting,Constipation
- Electrolyte Imbalance, Dehydration, (Hypokalemia most likely to occur)
- Hyperuricemia
- Hyperglycemia
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Term
DRUG CLASS: Thiazide Diuretics NURSING CONSIDERATIONS
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Definition
- Obtain baseline data before administation.
- DO NOT administer after midafternoon.
- Give with food or milk
- Monitor I & O's.
- Monitor electrolyte levels.
- May induce hyperglycemia. Monitor blood sugar.
- Monitor for digitalis toxicity if given with digoxin.
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Term
DRUG CLASS: Thiazide Diuretics bendroflumethiazide (Naturetin) |
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Definition
Action: Blocks reabsorption of sodium and chloride taking water with them resulting in pee. Uses: Antihypertensive from direct vasodilatory action on the peripheral arterioles. Outcome: Reduces elevated BP Side Effects Expect:Orthostatic hypotension Side Effects Report: Gastric irrritation, nausea, vomiting, constipation, Electrolyte imbalance, dehydration, hyperuricemia, hyperglycemia Nursing Consid: - Baseline vital signs.
- DO NOT administer after midafternoon to prevent nocturia
- Give with food or milk
- Monitor for digitalis toxicity if given with digoxin
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Term
DRUG CLASS: Thiazide Diuretic chlorothiazide (Diuril) |
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Definition
Action: Blocks reabsorption of sodium and chloride taking water with them resulting in pee. Uses: Antihypertensive from direct vasodilatory action on the peripheral arterioles. Outcome: Reduces elevated BP Side Effects Expect:Orthostatic hypotension Side Effects Report: Gastric irrritation, nausea, vomiting, constipation, Electrolyte imbalance, dehydration, hyperuricemia, hyperglycemia Nursing Consid: - Baseline vital signs.
- DO NOT administer after midafternoon to prevent nocturia
- Give with food or milk
- Monitor for digitalis toxicity if given with digoxin.
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Term
DRUG CLASS: Potassium-Sparing Diuretics amiloride (Midamor)
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Definition
Action: Acts at the distal renal tubule to retain potassium and excrete sodium resulting in diuresis. Uses: Usually used in combo with other diuretics in patients with hypertension or heart failure to help prevent hypokalemia.
Outcome: Reduces BP
Side Effects Expect: Anorexia, nausea, vomiting, flatulence, headache. Side Effects Report: Electrolyte imbalance, dehydration. Nursing Consid: - Baseline vital signs.
- DO NOT administer after midafternoon to prevent nocturia
- Give with food or milk
- DO NOT administer with potassium supplements or salt substitutes.
- Monitor I & O's.
- NSAID's reduce diuretic effect.
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