Electrolyte Drugs (Works best in "Learn" or Flashcard format)
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| Used to treat edema associated with heart failure and to control hypertension | ||
| 1.Lasix (Furosimie) 2. Bumex 3. Edecrin 4. Demadex | ||
| They will still work even if kidney function is somewhat decreased | ||
| Act on the loop of Henle - a part of the nephron | ||
| Side Effects: 1. Dehydration 2. Electrolyte Imbalance 3. Orthostatic hypotension 4. Diarrhea 5. Dizziness 6. Overdoses (potential) | ||
| is the most common loop diuretic used in the management of pulmonary edema, CHF, and ascites (IV or Oral) | ||
| Indications for use: 1. renal failure, 2. head injury (reduces edema in brain) | ||
| Can also be used as an aid in the removal of toxic substances from the body- as in poisonings | ||
| Osmotic diuretic: Works by pulling water from the cells | ||
| It does not deplete electrolytes as much. If the renal blood flow is down then ___________ will have difficulty working. | ||
| IV ONLY | ||
| Usually placed in a bag and allowed to drip | ||
| 1. Spironolactone (Aldactone) 2. Amiloride (Midamor) | ||
| Block aldosterone receptors | ||
| It will cause sodium and water to be excreted | ||
| Drugs in this class can cause problems with potassium supplements lithium, and with the class of drugs called Ace inhibitors. | ||
| Side Effects: 1. Hyperkalemia 2. Dizziness | ||
| 1. Hydrochlorothiazide (HCTZ, Esidrix, Hydrodiuril) 2. Metolazone | ||
| Indications for use: 1. CHF 2. Hepatic failure 2. Hypertension | ||
| They cause the relaxation of the small blood vessels and reduce the work on the heart | ||
| Use with caution in impaired renal function | ||
| Only oral | ||
| 1. Dextrain 2. Hetastarch 3. Albumin | ||
| Move fluid from the interstitial compartment to the plasma compartment. It contains protein | ||
| 1. Fresh Frozen Plasma 2. Packed red blood cells 3. Plasma Protein Fraction 4. Whole Blood | ||
| What do you never use with blood products? | ||
| Indications for use: 1. Maintenance of fluids 2. Emergency fluid replacement 3. Base for mixing other meds for administration | ||
| Non-protein containing solutions | ||
| Two RN's must check blood and sign the documentation that's it's appropriate units of blood | ||
| Indications for use: 1. cardiac arrest | ||
| Adverse reactions depend on form of administration | ||
| Used in PO form as an antacid | ||
| In IV form for the treatment of metabolic acidosis as in cardiac arrest | ||
| Use with caution in persons with CHF or renal problems | ||
| Side Effects: 1. GI distress 2. Bleeding 3. IV will cause burning/irritation | ||
| Tang like powder. Stir up with 4oz of water and make sure it's dissolved. | ||
| Non enteric should not be taken with food (do not chew, just swallow) | ||
| Normal dose for IV drip would be 1.5-2g/kg (of pt weight) given over 30-60mins | ||
| Can cause seizures and pulmonary congestion | ||
| Contain fluids and electrolytes that are normally found within the body. | ||
| This electrolyte is safer to administer orally then by IV |