Chapter 28: Diuretic Drugs Test, Furosemide, Pharmacology for Nurses: Practical Applications
The key terms in this Pharmacology course include Diuretic Drugs, Furosemide, Hypokalemia, Pharmacology for Nurses: Practical Applications
Which laboratory test result is a common adverse effect of furosemide?
Furosemide is a potent loop diuretic, and the most common adverse effect of loop diuretics is electrolyte imbalances. This results in major electrolyte losses of potassium and sodium and, to a lesser extent, calcium.
To treat a patient diagnosed with primary hyperaldosteronism, the nurse would expect to administer which diuretic?
Spironolactone is the direct antagonist for aldosterone.
A patient prescribed spironolactone asks the nurse to assist with food choices that are low in potassium. The nurse would recommend which food choices? (Select all that apply.)
Spironolactone is a potassium-sparing diuretic that could potentially cause hyperkalemia. Bananas and winter (not summer) squash are high in potassium and should be avoided in patients taking spironolactone.
Acetazolamide is used to treat which conditions? (Select all that apply.)
Edema associated with heart failure
Dry eye syndrome
Acetazolamide causes excretion of bicarbonate, which would worsen metabolic acidosis. It is used to treat high-altitude sickness, edema secondary to heart failure, open-angle glaucoma, and rarely as an antiepileptic drug. It is not used for treatment of dry eye syndrome or cardiac dysrhythmias.
Potassium-sparing diuretics may cause which common adverse reactions? (Select all that apply.)
Hyperkalemia, dizziness, and headache are common adverse effects associated with potassium-sparing diuretics.
When teaching a patient about symptoms of hypokalemia, the nurse will instruct the patient to notify the health care provider if which symptom occurs?
Muscle weakness is a common symptom of hypokalemia. The other answers are incorrect.
When assessing a patient taking triamterene, the nurse would monitor for which possible adverse effect?
Triamterene is a potassium-sparing diuretic, and therefore hyperkalemia is a possible adverse effect.