Diuretics and Hypertensive Flashcards: Torsemide
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Questions and Answers

What is the trade name of torsemide?

Demadex

What are the therapeutic effects of torsemide?

Edema due to heart failure, hepatic or renal disease, hypertension, diuresis, and decreased blood pressure.

What are the side effects of torsemide?

Stevens-Johnson syndrome, toxic epidermal necrolysis, dehydration, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis.

What is a key nursing assessment for torsemide?

<p>Assess patient for skin rash frequently during therapy.</p> Signup and view all the answers

What should patients be advised about when taking torsemide?

<p>Contact health care professional immediately if rash, muscle weakness, cramps, nausea, dizziness, numbness, or tingling occurs.</p> Signup and view all the answers

In which patients is torsemide contraindicated?

<p>Electrolyte depletion and diabetes mellitus.</p> Signup and view all the answers

Study Notes

Torsemide Overview

  • Trade name for torsemide is Demadex.
  • Belongs to the class of loop diuretics, often used for managing edema and hypertension.

Therapeutic Effects

  • Effective in treating edema caused by heart failure, hepatic, or renal disease.
  • Helps reduce hypertension and promotes diuresis for fluid mobilization (e.g., pleural effusions).
  • Lowers blood pressure through fluid elimination.

Side Effects

  • Significant risk of Stevens-Johnson syndrome and toxic epidermal necrolysis.
  • May cause dehydration and imbalances such as:
    • Hypocalcemia
    • Hypochloremia
    • Hypokalemia
    • Hypomagnesemia
    • Hyponatremia
    • Hypovolemia
    • Metabolic alkalosis

Nursing Assessment

  • Regularly assess for skin rash; immediate discontinuation recommended at first sign.
  • Monitor vital signs (BP and pulse) before and during administration.
  • Evaluate adherence: track frequency of prescription refills in hypertensive patients.
  • Check laboratory tests for:
    • Electrolytes
    • Renal and hepatic function
    • Serum glucose
    • Uric acid levels (before and periodically during therapy)

Patient Teaching

  • Instruct patients to seek immediate medical attention for symptoms like rash, muscle weakness, cramps, nausea, dizziness, or numbness/tingling.
  • Advise patients to report any weight gain exceeding 2-3 lbs/day.

Contraindications

  • Use torsemide cautiously in patients with:
    • Electrolyte depletion
    • Diabetes mellitus

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Description

This quiz focuses on the key concepts related to Torsemide, a loop diuretic used to treat edema and hypertension. Flashcards cover its trade name, therapeutic effects, and potential side effects. Test your knowledge on this essential medication and its clinical applications.

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