Nursing 211

N211: Health Differences Across the Lifespan I Indications dverse Reactio s

Nursing Interventions Caution with clients with gout, renal failure and lithium Volume depletion and electrolyte depletion are rapid Same nursing interventions as above Watch for hyperkalemia and renal failure Increase in lithium levels Give with meals to decrease GI distress

Enhance other hypertensives Rapid action Used when thiazides fail Causes volume depletion

Drugs/Diuretics

Furosemide (Lasix) Torsemide (Demadex) Bumetanide (Bumex) Spironolactone (Aldactone) Amiloride (Midamor) HCTZ and Triamterene (Maxidex) HCTZ and Amiloride (Moduretic) HCTZ and Spironolactone (Aldactazide)

Hypokalemia Hyperuricemia Glucose intolerance Sexual dysfunction Weakness

Loop

Potassium Sparing Volume depletion without significant potassium loss Hyperkalemia Gynecomastia Sexual dysfunction Decrease fluid volume while minimizing potassium loss Side effects of individual drug offset or minimized by its partner

Combination Loops and Potassium Sparing Do not overdo potassium foods Follow scheduling doses to avoid sleep disruption 1.2 Peripheral Vascular Disease Peripheral Vascular Disease is a chronic inadequate blood flow in the lower extremities. Circulatory problems can be due to arterial or venous pathology. The signs and symptoms and varies, depending on the source of pathology. Signs and Symptoms May include moderate edema, burning, itching, prominent superficial veins, ulcers and skin changes. Acute PVD

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