Exam (elaborations)
pharm renal urinary meds questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating
Course
Nursing pharmacology
Institution
Nursing Pharmacology
pharm renal urinary meds questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating
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August 13, 2024
Number of pages
6
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers
Institution
Nursing pharmacology
Course
Nursing pharmacology
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pharm renal/urinary meds
carbonic anhydrase inhibitors
glaucoma management
High altitude sickness
Diuretic (edema)
Lower intraocular pressure before eye surgery - ✔✔"zolamide" indications
photosensitivity
melena
hypokalemia (check K levels if on digoxin)
teach: less potent than loop or thiazide diuretics - ✔✔"zolamide" side effects /
interactions and teaching
*loop diuretics
Edema
HTN
Ascites
************Hypercalcemia !!!!!!!!!!*********** - ✔✔"ide" indications
Inhibit Na+ and Cl- reabsorption
dilate blood vessels
decrease peripheral vascular resistance
Decrease BP, SVR, pulmonary vascular resistance, K+ and Na+ depletion, POTENT
diuresis & fluid loss - ✔✔loop diuretics "ide" MOA
HYPOKALEMIA
HYPERGLYCEMIA
Ototoxicity
Tinnitus
N/V/D - ✔✔loop diuretics side effects
teach: Supplement dietary potassium to avoid hypokalemia
, *Low dose to treat acute kidney injury*
contrain: check for sulfa allergy - ✔✔loop diuretics teaching and contrain
osmotic diuretic**
ACUTE KIDNEY FAILURE (especially in oliguric phase to promote diuresis) !!!!!!
High intracranial pressure, Cerebral edema
***NOT INDICATED FOR PERIPHERAL EDEMA**** - ✔✔Mannitol (Osmitrol)
indication
Increase GFR and renal plasma flow
prevent kidney damage during AKF
Reduce excessive intraocular pressure
Inhibit tubular reabsorption of water/solutes, rapid diuresis occurs - ✔✔Mannitol
(Osmitrol) MOA
**Convulsions
**Thrombophlebitis
**Pulmonary congestion
Headache, chest pain, tachycardia - ✔✔mannitol side effects
**IV INFUSION ONLY**
Must use FILTER FOR IV ADMIN,
stored in a warmer *Low dose to treat AKI - ✔✔mannitol administration instructions
Spironolactone (Aldalactone)
Amiloride
Triamterene
(SAT) - ✔✔Potassium sparing diuretics
spirnolactone and triamterene: hyperaldosteronism, HTN, reverse K+ loss, HF
Amiloride - HF only! - ✔✔Potassium-sparing
diuretics indications