Galen
College
ADN:
Pharmacology
Exam
3
(2022)
Loop
Diuretic
(name
and
indication)
-
ANS
Furosemide,
Peripheral
Edema
Loop
Diuretic
(Furosemide)
SE/Adverse
-
ANS
Nausea,
dizziness,
electrolyte
imbalance,
muscle
cramping,
blurred
vision;
Hypokalemia,
orthostatic
hypotension,
hyperglycemia,
hearing
loss
Loop
Diuretic
(Furosemide)
Considerations/Contraindications
-
ANS
Monitor
electrolyte
status,
educate
on
s/s
of
hypokalemia,
hyperglycemia.
Contraindicated
in
patients
with
Sulfa
allergy.
Caution
with
diabetic
patients,
HF
patients,
hearing
impaired
Potassium
Sparing
Diuretic
(name
and
indication)
-
ANS
Spironolactone,
Edema
Potassium
Sparing
Diuretic
(Spironolactone)
SE/Adverse
-
ANS
Headache,
muscle
cramps,
weakness,
dizziness,
GI
discomfort;
Pulmonary
Edema,
Hypertension,
HF,
ascites
Potassium
Sparing
Diuretic
(Spironolactone)
Considerations/Contraindications
-
ANS
Monitor
serum
potassium,
teach
patient
s/s
of
hyperkalemia.
Contraindicated
in
patients
with
liver
disease
and
renal
dysfunction
Thiazide
Diuretic
(name
and
indication)
-
ANS
Hydrochlorothiazide,
Hypertension
Thiazide
Diuretic
(Hydrochlorothiazide)
SE/Adverse
-
ANS
Dizziness,
headache,
weakness,
photosensitivity,
muscle
cramps;
Orthostatic
hypotension,
severe
hypokalemia,
hyponatremia
Thiazide
Diuretic
(Hydrochlorothiazide)
Considerations/
Contraindications
-
ANS
Monitor
serum
potassium
level,
Monitor
liver
and
renal
function.
Contraindicated
for
patients
with
DM,
and
hx
of
hypotension
Osmotic
Diuretic
(name
and
indication)
-
ANS
Mannitol,
Cerebral
Edema/
Intracranial
Pressure
Osmotic
Diuretic
(Mannitol)
SE/Adverse
-
ANS
Headache,
blurred
vision,
dry
mouth
electrolyte
imbalance;
Pulmonary
edema,
blood
pressure,
Renal
failure
Osmotic
Diuretic
(Mannitol)
Considerations/Contraindications
-
ANS
Use
extreme
caution
in
HF
patients.
Monitor
I
&
O
for
therapeutic
response,
Monitor
vital
signs
for
therapeutic
response Alpha
Adrenergic
Blocker
(name
and
indication)
-
ANS
Prazosin,
Hypertension
Alpha
Adrenergic
Blocker
(Prazosin)
SE/Adverse
-
ANS
Dizziness,
blurred
vision,
headache,
weakness,
tinnitus;
Orthostatic
hypotension
Palpitations,
elevated
liver
enzymes
Alpha
Adrenergic
Blocker
(Prazosin)
Considerations/Contraindications
-
ANS
Teach
patient
to
change
positions
slowly,
monitor
liver
enzymes,
monitor
I
&
O
and
edema
in
lower
extremities.
Teach
patient
importance
of
checking
BP
at
home
and
daily
weights.
Calcium
Channel
Blocker
(name
and
indication)
-
ANS
Amlodipine,
Hypertension
Calcium
Channel
Blocker
(Amlodipine)
SE/Adverse
-
ANS
Dizziness,
headache,
weakness,
flushing
and
peripheral
edema;
Severe
hypotension,
MI
Death,
reflex
tachycardia
Calcium
Channel
Blocker
(Amlodipine)
Considerations/Contraindications
-
ANS
Monitor
vital
signs,
instruct
patient
to
change
positions
slowly.
Cardiac
Selective
Beta
Blocker
(name/indication)
-
ANS
Metoprolol,
Hypertension
Cardiac
Selective
Beta
Blocker
(Metoprolol)
SE/Adverse
-
ANS
Fatigue,
weakness,
dizziness,
headache,
blurred
vision;
Bradycardia,
hypotension,
stroke,
thrombocytopenia,
DM
Cardiac
Selective
Beta
Blocker
(Metoprolol)
Considerations/Contraindications
-
ANS
Contraindicated
in
Heart
block,
hypotension,
Acute
HF
and
bradycardia.
African
American
benefit
from
dual
therapy
with
a
diuretic
and
beta
blocker
combined.
Nonselective
Beta
Blocker
(name/indication)
-
ANS
Propranolol,
Hypertension
Nonselective
Beta
Blocker
(Propranolol)
SE/Adverse
-
ANS
Dizziness,
visual
disturbances;
Bradycardia,
hyperkalemia,
seizure,
agitation
Nonselective
Beta
Blocker
(Propranolol)
Considerations/Contraindications
-
ANS
Do
not
give
to
patients
with
lung
disease
can
cause
bronchospasms.
Teach
patient
to
monitor
BP,
s/s
of
hyperkalemia
and
to
check
HR
ACE
Inhibitor
(name/indication)
-
ANS
Lisinopril,
Hypertension
ACE
Inhibitor
(Lisinopril)
SE/Adverse
-
ANS
Headache,
dizziness,
Nagging
cough;
Hypotension,
syncope,
hyperkalemia