meds a7 mod 4 term 2

Furosemide (Lasix)

Loop diuretic that causes strong diuresis and wastes potassium.

Major risk of Furosemide (Lasix)

Hypokalemia and ototoxicity.

Nursing priority for Furosemide (Lasix)

Avoid in sulfa allergy and monitor electrolytes.

Memory trick for loop diuretics

Loop = Lose potassium.

Hydrochlorothiazide (HCTZ)

Thiazide diuretic that causes mild diuresis and wastes potassium.

Main use for Hydrochlorothiazide (HCTZ)

Hypertension and edema.

Memory trick for thiazides

Thiazides take a THIA-sip.

Spironolactone (Aldactone)

Potassium-sparing diuretic that blocks aldosterone.

Major risk of Spironolactone (Aldactone)

Hyperkalemia and arrhythmias.

Memory trick for spironolactone

AldactONE keeps ONE potassium.

Potassium (KCl) PO main use

Treatment and prevention of hypokalemia.

Major risk of Potassium (KCl) PO

Hyperkalemia.

Critical rule for Potassium (KCl) IV

NEVER give IV push.

Kayexalate main use

Potassium binder used to treat hyperkalemia.

Major risk of Kayexalate

Intestinal necrosis and aspiration.

Patiromer (Veltassa) key fact

Potassium binder used for chronic hyperkalemia, not emergencies.

Lokelma key fact

Potassium binder with rapid onset around 1 hour.

Calcium gluconate key use

Protects the heart in hyperkalemia.

Nursing priority for Calcium gluconate

Give slowly IV with ECG monitoring.

Regular insulin key fact

Only insulin that can be given IV.

Regular insulin effect on potassium

Drives potassium into cells.

Major risk of Regular insulin

Hypoglycemia.