Medications Affecting Urinary Outputs

What diuretics are high ceiling loop diuretics ?

• furosemide

• ethacynic acid

• bumetanide

• toresemide

What are some complications caused by high diuretics ?

• Dehydration

• Hypotension

• Ototoxicity

• Hypokalemia

What are some nursing considerations for high diuretics?

• BP

• I&O

• Electrolytes

• Daily weights

• UOP

• renal function

What are some client teachings for high diuretics ?

• Daily weights

• S/S low potassium

• change positions slowly

• Do not take late in the day

• eat potassium rich foods

Name two thiazide diuretics

• hydrochlorothiazide

• chlorothiazide

Name three thiazide type diuretics

• indapamide

• chlorthalidone

• metolazone

What are some complications with thiazide diuretics?

• dehydration

• hyponatremia

• hypokalemia

• hypochloremia

• hyperglycemia

• hyperuricemia

• hypomagnesemia

• hyperlipidemia

What are some nursing considerations for thiazide diuretics?

• BP

• I&O

• electrolytes

• daily weights

• UOP

• renal function

What are some client teachings for thiazide diuretics?

• daily weights

• S/S low potassium

• change positions slowly

• do not take late in the day

• take with food

• eat potassium rich foods

Name three potassium sparing diuretics

• Spironolactone

• Triamterne

• Amilorode

What are some complications with sparing diuretics ?

• Hyperkalemia

• Endocrine effects

• Fatigue

• Metabolic acidosis

What are some considerations with sparing diuretics?

• BP

• I&O

• electrolytes

• daily weights

• UOP

• renal function

what are some client teachings for potassium sparing diuretics?

• daily weights

• S/S high potassium

• Change positions slowly

• Do not take late in the day

• Limit potassium rich foods

• Avoid salt Substitutes

Name one osmotic diuretics?

Mannitol

what are some complications with osmotics?

• heart failure

• pulmonary edema

• rebound increased ICP

• fluid and electrolytes imbalances

• metabolic acidosis

What are some nursing considerations for osmotics?

• Check BP

• I&O

• electrolytes

• daily weights

• UOP

• S/S increased ICP

what are some client teachings for osmotic diuretics?

• report vertigo

• report GI distress

• change positions slowly