Diuretic Agents Q&A

Pottassium sparing diuretics

Amiloride Spironolactone Triamterene

Loop Diuretics

Furosomide Bumetanide Ethacrynic Acid

Osmotic Diuretics

Mannial Urea Glycerin

Describe what it meant by fluid rebound?

Reflex reaction of body in response to loss of fluid and sodium

Explain the clinical significance of the action of diuretics?

Sodium excretion prevent re-absorbtion and excreted through urine instead of returning to blood stream where it would increase intravascular volume increasing BP & orthostatic pressure

Identify the most common use for carbonic anhydrase inhibitors

Treat glaucoma because the inhibition of carbonic anhydrase results in the decreased secretions of aqueous humor of the eye

After teaching a group of students about loop diuretics, the instructor determines that the teaching has been successful when the students identify which agent as the safest for use in the home? a. Furosemide b. Ethacrynic acid c. Bumetanide d. Torsemide

a. Furosemide

After reviewing the different classes of diuretics available, a student demonstrates understanding when he identifies which of the following as an example of a thiazidelike diuretic? a. Metolazone b. Chlorothiazide c. Furosemide d. Triamterene

a. Metolazone

A patient is receiving triamteren (K+sparing). The nurse instructs the patient to avoid which of the following? select all that apply a. bananas b. prunes c. lettuce d. broccoli e. apples

a. bananas b. prunes d. broccoli

A patient is diagnosed with increased intracranial pressure. Which of the following would the nurse expect to be ordered? a. mannitol b. furosemide c. amiloride d. bumetanide

a. mannitol Mannito is osmotic diuretic, given intravenously begins to work in 30-60min

A patient is receiving hyrochlorothiazide. The nurse would expect this drug to begin acting whining which time frame? a. 1hr b. 2hr c. 3hr d. 4hr

b. 2hr

A patient reeives a dose of furosemide intravenously at 8am. The nurse would expect this drug to exert it peak at what time? a. 8:15 b. 8:30 c. 8:45 d. 9:00

b. 8:30 starts to work in 5min peaks in 30min

Pt receiving diuretic tells nurse that she decreased fluid intake so she does not take many trips to bathroom. The nurse interprets info and realized patient is at risk for? a. Hypokalemia b.Fluid Rebound c. Weight Loss d. Dehydration

b. Fluid Rebound

The nurse is monitoring the results of laboratory testing for a patient receiving chlorthalidone Which of the following would be a cause for concern? a. decreased uric acid levels b. hypercalemia c. hyperkalemia d. anemia

b. hypercalemia

Which of the following instructions would be most appropriate for a patient who is taking a diuretic? a. "take the daily dose around dinnertime" b. it's okay to take it with food" c. "lie down after taking the drug" d. "limit the amount of fluids you drink"

b. it's okay to take it with food"

When describing where bumetanide (loop diuretic) acts, which of the following would the nurse include? a. proximal convoluted tubule b. loop of henle c. collecting tubule d. glomerulus

b. loop of henle

Which of the following would the nurse expect to find in a patients receiving acetazolamide (carbonate anhydrase inhibitor)? a. metabolic alkalosis b. metabolic acidosis c. respiratory acidosis d. respiratory alkalosis

b. metabolic acidosis bicarbonate is lost due to action of carbonic anhydrase inhibitors metabolic alkalosis would occur if bicarbonate were retained!! Respiratory -does not apply

Whick of the following would contraindicate the use of indapamide? a. diabetes b. systemic lupus erythematosus c. hypokalemia d. gout

c. hypokalemia

The nurse assess a patient receiving furosemaide for which of the following? a. acidosis b. hypercalemia c. hypotension d. hypoglycemia

c. hypotension

When describing the action of spironolactone(K+sparing), the nurse would explained that this drug acts by which of the following? a. blocking potassium secretions through tubule b. slowing the movement of hydrogen ions c. blocking the chloride pump d. blocking aldosterone in the distal tubule

d. blocking aldosterone in the distal tubule

Name the pro type loop diuretic

furosomide