Pharmacological Treatments for FVO

• What is the therapeutic class of Furosemide (Lasix)?

  Diuretic
• What is the pharmacy class of Furosemide (Lasix)?

  Loop Diuretic
• What is the action of Furosemide (Lasix)?

  Increases renal excretion and decreases BP
• What are common side effects of Furosemide (Lasix)?

  Dizziness, headache, hypotension
• What caution should be taken when using Furosemide (Lasix)?

  Monitor fluid balance
• What is a nursing consideration for older clients taking Furosemide (Lasix)?

  Falls risk
• What should be considered regarding kidney function when using Furosemide (Lasix)?

  Consider pre-existing kidney function
• What should be monitored while taking Furosemide (Lasix)?

  Weight and fluid balance
• Why should Furosemide (Lasix) not be taken at night?

  Nocturnal urination may disrupt sleep
• What is the therapeutic class of Hydrochlorothiazide?

  Antihypertensives
• What is the pharmacologic class of Hydrochlorothiazide?

  Thiazide Diuretic
• What is the action of Hydrochlorothiazide?

  Lower BP by reducing fluid volume
• What are common side effects of Hydrochlorothiazide?

  Dehydration, dizziness, headache
• What caution should be taken when using Hydrochlorothiazide?

  Contraindicated with impaired kidney function
• What nursing considerations are important for Hydrochlorothiazide?

  Monitor electrolytes and daily weights
• What is the therapeutic class of Spironolactone?

  Antihypertensives
• What is the pharmacologic class of Spironolactone?

  Potassium Sparing Diuretic
• What is the action of Spironolactone?

  Lower BP by reducing fluid volume
• What are common side effects of Spironolactone?

  Dizziness, headache, hypotension
• What caution should be taken when using Spironolactone?

  Contraindicated with later stage kidney function
• What nursing considerations are important for Spironolactone?

  Monitor electrolytes and daily weights
• What is a common side effect of Spironolactone related to light exposure?

  Photosensitivity
• What gastrointestinal side effects can occur with Spironolactone?

  Nausea, vomiting, diarrhea
• What is a potential risk for older adults taking diuretics?

  Falls risk
• What should be monitored in patients taking diuretics?

  Electrolytes and kidney function
• What is the importance of monitoring daily weights in patients on diuretics?

  To assess fluid retention or loss
• What is the significance of monitoring input/output (I/O) in patients taking diuretics?

  To track fluid balance
• What is the relationship between diuretics and blood pressure?

  Diuretics lower blood pressure by reducing fluid volume
• How do the actions of Furosemide, Hydrochlorothiazide, and Spironolactone compare?

  All lower BP by reducing fluid volume
• What are the differences in side effects among Furosemide, Hydrochlorothiazide, and Spironolactone?

  Furosemide has hypoK; Spironolactone has hyperK
• What nursing considerations are common for all three diuretics?

  Monitor electrolytes, daily weights, and falls risk
• How does the caution for kidney function differ among the three diuretics?

  Furosemide and Hydrochlorothiazide caution with impaired function