<center>  Los diuréticos son unos de los fármacos mas utilizados en los servicios de hospitalización en pacientes con algunas enfermedades tanto agudas como cronicas, sin embargo estos fármacos son contraindicados en algunos pacientes ademas de que se podrian presentar algunas reacciones adversas que ponen en riesgo la vida del paciente.  Los diuréticos son fármacos encargados de liberar principalmente liquidos del cuerpo, sodio, potasio, estos incrementan la produccion de orina permitiendo asi eliminar mayor cantidad de liquidos retenidos, por lo general son indicados en el paciente con enfermedades como hipertension arterial, insufiencia cardiaca, edemas, estos fármacos deben administrarse con precaucion en el paciente adulto mayor debido a que presentan mayor riesgo de desarrollar reacciones adversas.  Entre su clasificacion encontramos principalmente los diuréticos de Asa tales como el furosemida uno de los mas utilizados su presentacion son ampollas de 20mg y pueden ser indicados de acuerdo a las necesidades del paciente como todo farmaco posee sus beneficios pero tambien sus riesgos y el principal en estos casos es el riesgo de desequilibrio hidroelectrolítico.  Tambien encontramos dentro de su clasificacion el grupo de las tiazidas y uno de los mas comunes es la hidroclorotiazida, otro de ellos es la espironolactona perteneciente al grupo de los ahorradores de potasio o distales principalmente su administracion es via oral de acuerdo a los requerimientos del paciente.  Es importante destacar algunos de estos diureticos pueden afectar la funcion renal del paciente afectando asi la filtracion glomerular, ademas de generar desequilibrio hidroelectrolíticos como lo es la hipercalcemia, hipernatremia, hiponatremia, hipomagnesemia, ademas de algunos trastornos del equilibrio acido base, todo esto por consecuencia de la administracion prolongada.  Como personal de enfermeria es importante vigilar signos de reacciones adversas generales como a nivel gastrointestinal, cutaneo, visual, neurologicos, ademas de vigilar signos del desequilibrio electrolítico, por otra parte debemos administrar el medicamento de forma correcta en caso de ser via intravenosa no mezclar con otros fármacos, realizar balance hidrico, vigilar el edema, control de peso diario. Es vital la vigilancia en el paciente adulto mayor debido al riesgo de complicacion.  ## *ENGLISH* >Diuretics are one of the most used drugs in hospitalization services in patients with some acute and chronic diseases, however these drugs are contraindicated in some patients in addition to the fact that some adverse reactions could occur that put the patient's life at risk. . >Diuretics are drugs responsible for releasing mainly fluids from the body, sodium, potassium, these increase the production of urine thus allowing to eliminate a greater amount of retained fluids, they are usually indicated in patients with diseases such as high blood pressure, heart failure, edema, These drugs should be administered with caution in the elderly patient because they have a higher risk of developing adverse reactions. >Among its classification we find mainly Loop diuretics such as furosemide, one of the most used, its presentation is 20mg ampoules and can be indicated according to the needs of the patient, as every drug has its benefits but also its risks and the main one in these cases is the risk of fluid and electrolyte imbalance. >We also find within its classification the group of thiazides and one of the most common is hydrochlorothiazide, another of them is spironolactone belonging to the group of potassium savers or distal mainly its administration is orally according to the requirements of the patient . >It is important to highlight some of these diuretics can affect the patient's kidney function, thus affecting glomerular filtration, in addition to generating hydroelectrolytic imbalance such as hypercalcemia, hypernatremia, hyponatremia, hypomagnesemia, in addition to some acid-base balance disorders, all this as a consequence of prolonged administration. >As nursing staff it is important to monitor signs of general adverse reactions such as gastrointestinal, skin, visual, neurological, in addition to monitoring signs of electrolyte imbalance, on the other hand we must administer the medication correctly in case of intravenous route, do not mix with other drugs, perform fluid balance, monitor edema, daily weight control. Surveillance in the elderly patient is vital due to the risk of complications.  * *La información que acabas de leer es de mi aprendizaje en la carrera de T.S.U en enfermería. - The information you just read is from my learning in the career of T.S.U in nursing.* * *El separador e imágenes son de mi propiedad. - The separator and images are my property.* * *Traducción de: Google traductor - Translation of: Google translator.* [Puedes leer mas aqui](https://contenidos.usco.edu.co/salud/images/documentos/grados/T.G.Enfermeria/116.T.G-Diana-Constanza-Pea-Jennyffer-Andrade-Ortiz-Nelson-Javier-Gonzalez-2005.pdf) [Informacion de interes](https://www.medigraphic.com/pdfs/medintmex/mim-2018/mim184h.pdf)   *Diseño creado en @Canva. - Design created in @Canva.*  </center>
author | marile21 |
---|---|
permlink | esp-or-eng-diureticos-que-es-en-que-casos-estan-indicados-diuretics-what-is-it-in-what-cases-are-they-indicated |
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author | hivebuzz |
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author | ramonycajal |
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