- NOT SAFE FOR USE WITH RENAL IMPAIRMENT

Nur 354 Exam 2 111 (Actual / ) Questions And 100% Verified Answers

What drug class do furosemide and bumetanide fall under?loop diuretics

what is the pharmacological action of loop diuretics?

• block reabsorption of sodium, chloride, and water in the loop

of Henle

What are the adverse effects associated with thiazide diuretics?

- pregnancy: decreased placental perfusion

- NOT SAFE FOR USE WITH RENAL IMPAIRMENT

What are some nursing interventions appropriate for thiazide diuretic therapy?

• notify provider of prolonged signs of dehydration and

electrolyte imbalance

• alternate day dosing can help with electrolyte imbalance 1 / 3

• give with food or milk to reduce GI upset
• administer early in day
• i's&o's + daily weights

What is the protocol for expected MI?

MONA

-M: morphine for pain, anxiety, and reduce preload

-O: oxygen~ GIVE FIRST!!

-N: nitroglycerine is first line treatment

-A: aspirin prevents platelet clots and arterial constriction

which deliveries of nitroglycerine can be used to prevent angina attacks?sublingual (before exerting activity) sustained release PO (long term prophylaxis) transdermal (long term prophylaxis) topical ointment (long term prophylaxis)

What is renin?an enzyme secreted by and stored in the kidneys that promotes the production of the protein angiotensin

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What is angiotensin?a protein whose presence in the blood promotes aldosterone secretion and tends to raise blood pressure; angiotensin 1 is inactive but angiotensin 2 is active

What is aldosterone?Secreted from the adrenal cortex and promotes sodium, chloride, and water reabsorption in the kidneys.

What should we know about angiotensin 2?angiotensin 2 is one of the most potent know natural vasoconstrictors

What is necessary to convert angiotensin 1 into angiotensin 2?angiotensin conversing enzyme

How does angiotensin II increase BP?It causes vasoconstriction and increased release of ALDOSTERONE which results in sodium and water retention

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