DIURETICS

DIURETICS

Thiazides
Loop Diuretics
Potassium Sparing

THIAZIDE-(most end in ZIDE)
Action:

-Decrease BP by producing sodium & water loss
-Decrease Fluid overload
--POTASSIUM WASTING

THIAZIDE
Side Effects:

Dizziness, Hypokalemia, Increase Urine Output, Photosensitivity

THIAZIDE
Uses:

-Peripheral Edema, HTN, Diuresis
-Treat HTN in pt's w/ heart, kidney and liver damage

THIAZIDE:
Asses:

-Monitor: Potassium levels, I&O, weight,BP,P.
-Asses: Edema, lung sounds

LOOP DIURETICS- (most end in IDE/ #1 Lasix)
Action:

-Blocks transport of chloride,sodium, potassium in the loop of henle POTASSIUM WASTING.
-Decreases fluid overload

LOOP DIURETICS
Side Effects:

-Auto Toxicity(ringing in ears),tinnitis, dehydration
-Hypotension
-Hypokalemia
-Hyponatremia

LOOP DIURETICS
Uses:

Pulmonary Edema, CHF, Hepatic(liver) Cirrhosis

LOOP DIURETICS
Asses:

-Asses: BP and P prior to admin. (norm admin. A.M to avoid nocturia)
-Monitor: K (Potassium) levels
(note: potassium depleting due to increase urination causing dysrhythmias), I&O
-Increase green leafy veg.

POTASSIUM SPARING ( most end in TONE)
Action:

Increase excretion of water and sodium saving Potassium
Note: do not give to pt w/ hyperkalemia

POTASSIUM SPARING
Side Effects:

Hyperkalemia, rash, dry mouth,photosensitivity, anemia, anorexia,diarrhea

POTASSIUM SPARING
Uses:

Edema, HTN, Increase urine Output

POTASSIUM SPARING
Asses:

Urinary Output, Potassium levels
Avoid Potassium foods, Salt Supplements
Signs: of Hyperkalemia (weakness, fatigue,confusion,dyspnea,arrhythmias)