Renal | Urinary Medications

Medication (Generic
Name)
IndicationsCommon
Side Effects
Adverse
Effects
Nursing
Considerations
Furosemide (Loop
Diuretic)
Edema,
Hypertension, Heart
Failure
Hypokalemia,
dehydration
Ototoxicity, electrolyte
imbalances, hypotension
Monitor
electrolytes, especially
potassium; encourage.
potassium
rich foods.
Spironolactone
(Potassium -Sparing
Diuretic)
Edema,
Hypertension
Hyperkalemia,
gynecomastia
Renal
dysfunction, metabolic
acidosis,
hyponatremia
Monitor
potassium
levels.
educate on potassium.
restriction; monitor
renal
function.
Tamsulosin (Alpha
Blocker)
Benign
Prostatic
Hyperplasia (BPH)
Dizziness,
retrograde
ejaculation
Orthostatic hypotension, priapism,
floppy iris
syndrome
Administer at bedtime; educate on potential.
side effects.
Doxazosin (Alpha
Blocker)
Hypertension n, BPHDizziness,
fatigue,
headache
Orthostatic hypotension, priapism,
heart
palpitations
Monitor
blood
pressure.
administer at bedtime.
Phenazopyridine
(Urinary
Analgesic)
Urinary Tract PainOrange
urine,
headache,
GI upset
Hemolytic
anemia
(rare),
allergic
reactions,
methemoglobinemia
Educate on short-term use, caution in patients.
with G6PD deficiency.
Methenamine ne (Urinary Antibacteri al)Chronic
Urinary Tract Infections
GI upset,
headache,
rash
Crystalluria, nephrolithiasis is,
hepatotoxicity y
Encourage
adequate
fluid intake; monitor for crystalluria.
Medication (Generic
Name)
IndicationsCommon
Side Effects
Adverse
Effects
Nursing
considerations
Hydrochlorothiazide
(Thiazide
Diuretic)
Hypertension, EdemaHypokalemia, increased urinationElectrolyte
Imbalances, dehydration, hyperglycemia
Monitor
electrolytes, especially
potassium; educate on potassium.
rich foods.
Desmopressin
(Antidiuretic Hormone Analog)
Diabetes
Insipidus,
Nocturnal
Enuresis
Headache,
nasal
congestion
Water
intoxication, hyponatremia a, fluid
retention
Monitor
serum
sodium
levels.
assess for
fluid
overload.
Mannitol
(Osmotic
Diuretic)
Cerebral
Edema,
Intraocular
Pressure
Increased
urination,
fluid
overload
Dehydration, electrolyte
imbalances, hypernatremia
Administer IV
cautiously, monitor for signs of
dehydration.
Nitrofurantoin (Urinary Antibiotic)Urinary Tract InfectionsNausea,
diarrhea,
headache
Pulmonary
reactions,
hepatotoxicity hemolytic anemia
Educate on proper.
administration n with food; monitor for adverse.
effects.
Darifenacin (Anticholinergic)Overactive BladderDry mouth, constipation, blurred.
vision
Urinary
retention,
confusion,
heatstroke
Monitor for urinary.
retention.
caution in
elderly
patients.
Allopurinol (Uric Acid
Reducer)
Gout,
Hyperuricemia ia
Rash,
nausea,
elevated
liver
enzymes
Severe skin reactions,
bone
marrow
suppression
Assess for
hypersensitive
encourage
hydration.
monitor
renal and
liver
function.

Otito-Umoren