Chapter 43: Drugs for Renal Disorders and Diuretic Therapy

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Presentation transcript:

Chapter 43: Drugs for Renal Disorders and Diuretic Therapy DISCUSSION POINTS Chapter 43: Drugs for Renal Disorders and Diuretic Therapy Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

- Loop diuretics (most effective) - Thiazide diuretics - Purpose - Loop diuretics (most effective) - Thiazide diuretics - Potassium-sparing diuretics - Miscellaneous diuretics Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

General side effects expected during pharmacotherapy with diuretics - Dehydration - Hypotension - Dizziness - Fainting - Excessive loss of sodium, potassium, and chloride ions Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for clients taking chlorothiazide (Diuril) for hypertension being instructed to eat foods rich in potassium Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for and procedure of monitoring a client’s intake and output of fluids Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

Possible causative factors if the intake of fluids is much greater than the output, and also for the reverse Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.

The rationale for giving mannitol before and after brain surgery Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved.