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Urinary System Med Exam
Urinary System Med Exam
55
Nursing
Not Applicable
03/18/2013

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Cards

Term
Name 4 adverse reactions to diuretics
Definition
  1. orthostatic hypotension
  2. electrolyte imbalances
  3. rash
  4. photosensitivity

 

Term
Loop Diuretic
Definition
Lasix
Term

adverse reactions to Lasix a loop diuretic

name 5

Definition
  1. electrolyte imbalances
  2. photosensitivity
  3. hypotension
  4. ototoxicity 
Term

Loop diuretics can cause electrolyte imbalances: decreased (k+) and hypotension, what do you monitor?

name 3

Definition
  1. b/p
  2. I & O
  3. Daily Weight 
Term
Definition
Osmotic Diuretics
Term

Mannitol (Osmitrol) is used to reduce what?

name 3

Definition
  1. intracranial pressure (ICP)
  2. IOP
  3. cerebral edema
Term

k+ sparing diuretics result in potassium retention,

name 2K+ sparing drugs

Definition
  1. Triamterene (Dyrenium)
  2. Sprinolactone (Aldactone)

 

 
Term
what is a condition caused by Spironolatone (Aldactone)
Definition
gynocomastia
Term

Mannitol is used for a pt with increased intracranial pressure, what are important NCs with this drug?

 name 3

Definition
  1. Strict I & O - monitor urine output HOURLY
  2. Monitor B/P, P and Resp. every 30-60 minutes
  3. Neurological assessments 
Term

warning signs for electrolyte imbalance

name 7

Definition
  1. dry mouth
  2. thirst
  3. restlessness
  4. muscle pains
  5. cramps
  6. hypotension
  7. tachycardia 
Term

normal sodium level is 135-145 mEq/L

name a symtpotm of Hyponatremia 

Definition
confusion
Term
sign of Hypokalemia <3.5
Definition
Muscle cramps
Term

signs of hyperkalemia >5

name 2

Definition
  1. muscle weakness
  2. EKG abnormalities 
Term
what can a pt do if GI upset occurs when taking diuretics
Definition
take with food or milk
Term
what time of day should diuretics be taken
Definition
early in the morning
Term
what drug lowers IOP by decreasing the production of acqueous humor
Definition
Diamox, a carbonic anhydrase inhibitor
Term
what is the most common structure affected by urinary infection, what is the name of the condition
Definition
the bladder, cystitis
Term
what are s/s of cystitis
Definition
  1. urgency
  2. frequency
  3. pressure
  4. burning on urination
  5. pain caused by spasm in the region of the bladder and suprapubic area
Term
name 4 urinary anti-infectives
Definition
  1. Hiprex, Mandelamine (Methenamine)
  2. NegGram (nalidixic acid)
  3. Macrobid, Macrodantin (nitrofurantoin)
  4. Bactrim (trimethoprim and sulfamethoxazole) 
Term
what medication is contraindicated in seizure disorders
Definition
NegGram (Nalidixc acid)
Term
what anti-infective medication should not be taken by pts allergic to tartrazine (a food dye)
Definition
methenamine (Hiprex)
Term
which anti-infective can cause pulmonary acute and chronic respiratory problems
Definition
Nitrofurantoin (Macrodantin)
Term
Name 2 anti-infectives that can cause crystaluria
Definition
  1. Bactrim (trimethoprim sulfamethoxaxole)
  2. Cipro (Ciprofloxacin) 
Term
what drug can cause pancytopenia
Definition
Trimethoprim sulfamethoxazole (Bactrim)
Term
what is pancytopenia
Definition
reduced: WBC, RBC and platelets
Term
which medication can turn your urine blue
Definition
Methenamine (Hiprex, Mandelamine, Urex)
Term

which drug has pulmonary side effects of:

dyspnea, chest pain, chills, fever, cough, alveolar infiltrates, pulmonary fibrosis

Definition
Nitrofurantoin (Macrodantin)
Term
which drug can cause brown urine
Definition
Nirofurantoin ( Macrobid, Macrodantin)
Term
which class of anti-infectives can cause crystalluria?
Definition
fluoquinolones - Cipro
Term
what class of anti-infectives have the side effect of photosensitivitiy
Definition
sulonamides - trimethoprim-sulfamethoxazole (Bactrim)
Term

sulfonamides (Bactrim) can cause pancytopenia, what symptoms need to be reported

 

Definition

sore thoat, fever

monitor CBC

Term
sulfonamides can change urine to what color
Definition
dark brown to red
Term
how does cranberry juice can assist with bacteria infection
Definition

it acidifies the urine -

bacteria does not grow in an acidic environment

Term

adverse reactions of anitcholinergic drugs

name 5

Definition
  1. dry mouth
  2. drowsiness
  3. constipation
  4. urinary hesitancy
  5. mental confusion
Term

anticholinergics are contraindicated in pts with

name 2 conditions

Definition
  1. glaucoma
  2. intestinal or gastric blockage

 

Term

Anticholinergics/Antispasmodic drugs

name 3

Definition
  1. urispas (flavoxate)
  2. Ditorpan (oxybutynin)
  3. Detrol (tolterodine)
Term
name 4 side effects of Urispas (flavoxate)
Definition
  1. dry mouth
  2. blurred vision
  3. urinary retention
  4. drowsiness 
Term
how does Detrol and Detrol LA reduce urinary incontinence, urgency and frequency
Definition
by controlling bladder contractions
Term
anticholinergics/antisposmotics may cause dizziness or drowsiness pts should avoid
Definition
hazardous activities
Term
what drug is used to increase bladder tone and function and to treat urinary retention
Definition

Bethanechol chloride (Urecholine)

a urinary cholinergic

Term
Bethanechol chloride (Urecholine) side effect:
Definition
hypotension, change positions slowly
Term
what is the antidote for cholinergic overdose
Definition
atropine sulfate
Term
what medication is a urinary tract analgesic used to treat pain from UTI or infection
Definition
Phenazopyridine hydrochloride (Pyridium)
Term
how do phosphate binders work
Definition
binds intestinal phosphate that is eliminated in feces
Term
what pts take phospate binders
Definition
pts with end stage renal disease - to reduce the serum phosphorous levels
Term
name 2 phosphate binder drugs
Definition
  1. Basaljel
  2. Sevelamer hydrochloride (Renagel)

 

Term
Nursing considerations for phosphate binders
Definition
  • take with the 1st bite of food
  • do not administer other meds concurrently with Amphojel, separate by at least 1 hour 
Term
potassium binder - Sodium polystryrene sulfonate (Kayexalate) works by...
Definition
promoting potassium excretion and sodium absorptrion, primarily in the large intestines
Term

what is an expected side effect of Magnesium supplements

name 3

Definition
    1. hypersolmnolence (sleepy)
    2. hot flashes
    3. lethargy
 
 
 
Term
how do you monitor pt taking magnesium supplements for toxicity
Definition
assess pt for depressed or absent deep tendon reflexes
Term

what are immunosuppressants used for

name 2

Definition
  1. autoimmune disorders
  2. prevent organ rejection; life long therapy 
Term
what are pts taking immunosuppresants at risk for
Definition
infection - fever and/or sore throat
Term
cytotoxic immunosupressant (Imuran) can cause bone marrow suppression what do we monitor for
Definition

Neutropenia - decrease WBC

AND

thrombocytopenia

 

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