Loop, thiazide, and potassium-sparing diuretics with their electrolyte monitoring and key nursing considerations.
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- Furosemide belongs to which class of diuretics?
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Loop diuretic
- Where in the nephron do loop diuretics act?
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The thick ascending limb of the loop of Henle
- What transporter do loop diuretics inhibit?
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The Na-K-2Cl cotransporter
- Loop diuretics increase urinary loss of which electrolyte, raising the risk of hypokalemia?
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Potassium
- Loop diuretics increase urinary excretion of which mineral, raising the risk of hypocalcemia?
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Calcium
- What serious risk is associated with rapid IV administration of furosemide?
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Ototoxicity (hearing loss or tinnitus)
- What is the maximum recommended IV push rate for furosemide to reduce ototoxicity risk?
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No faster than 20 mg per minute
- Loop diuretics are the drug of choice for treating which acute lung condition caused by fluid overload?
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Pulmonary edema
- Furosemide is chemically related to which drug class, requiring caution in patients with a related allergy?
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Sulfonamides (sulfa drugs)
- Which loop diuretic is a non-sulfonamide alternative safe for patients with a sulfa allergy?
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Ethacrynic acid
- Loop diuretics can raise serum uric acid levels, increasing the risk of which condition?
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Gout
- What daily nursing assessment helps track a patient's response to diuretic therapy?
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Daily weight, taken at the same time on the same scale
- Hydrochlorothiazide belongs to which class of diuretics?
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Thiazide diuretic
- Where in the nephron do thiazide diuretics act?
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The distal convoluted tubule
- What ion pair's reabsorption do thiazide diuretics inhibit?
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Sodium and chloride