NURS2132 Lecture Notes - Lecture 3: Orthostatic Hypotension, Distal Convoluted Tubule, Water–Electrolyte Imbalance
Document Summary
Competes with aldosterone at receptor sited in the distal tubule. Contraindication: result= excretion of sodium, water; retention of potassium and phosphate, hf. Edema hypertension: hypersensitivity, anuria, renal disease, bf, dehydration. Lithium: ace inhibitors, nsaids, avoid food high in k+ Inhibits reabsorption of sodium and chloride at proximal and distal tubule and the loop of henle: acts on distal tubule and ascending limb of the loop of henle. Pulmonary edema: hypertension, hf, ascites, hypersensitivity, anuria, renal disease, bf, dehydration, diabetes. Infants: headache, weakness, vertigo, orthostatic hypotension, blurred vision. Lithium: anticoagulants, muscle relaxants, high k+ diet. Fatigue: drowsiness, headache, dizziness, weakness, orthostatic hypotension, blurred vision, nausea, vomiting. Implications: assess i&o + electrolytes, monitor bp. Lithium levels: assess i&o + electrolytes, monitor bp.
