Osmitrol osmotic diuretic

Peds. Cardiac arrest w/ torsades 25-50 mg/kg/dose IV Caution [B, +] Contra Heart block Disp Inj 10, 20, 40, 80, 125, 500 mg/mL bulk powder SE CNS depression, D, flushing, heart block Interactions T CNS depression W/ antidepressants, antipsychotics, anxiolytics, barbiturates, hypnodcs, narcotics EtOH T neuromuscular blockade W/ aminoglycosides, atracurium, gallamine, pancuronium, tubocurarine, vecuronium EMS Monitor ECG for changes Mannitol (Osmitrol) [Osmotic Diuretic] Uses Tx cerebral edema (T ICP) Action Diuretic Dose Adults. 0.5-2 g/kg slow IV Peds. 0.2-0.5 g/kg IV over 60 min Caution [C, ] Contra Pulm edema, CHF, cerebral bleeding Disp Inj, sol 5% (50 mg/mL) 10% (100 mg/mL) 15% (150 mg/mL) 20% (200 mg/mL) 25% (250 mg/mL) SE N/V, HA, dizziness, edema, blurred vision, diuresis, dehydration Interactions Interferes w/ blood transfusions EMS Use caution to prevent extravasation (use large vein) rebound T in ICP has been noted about 12 h post administration... 

Mannitol (OsmitroL others) [Osmotic Diuretic] Uses Cerebral edema, T lOP/ICP, renal impair, poisonings Action Osmotic diuretic Dose Test dose 0.2 g/kg/dose IV over 3-5 min if no diuresis w/in 2 h, D/C Oliguria 50-100 g IV over 90 min T lOP 0.5-2 g/kg IV over 30 min Cerebral edema 0.25-1.5 g/kg/dose IV >30 min Caution [C, ] w/ CHF or volume overload Contra Anuria, dehydration, HE, PE Disp Inj SE May exacerbate CHF, N/V/D Interactions t Effects OF cardiac glycosides X effects OF barbiturates, imipramine, Li, salicylates EMS Monitor ECG for hypo-/hyperkalemia (T wave changes) OD May cause dehydration, t urine frequency/amount hypotension and CV collapse symptomatic and supportive... 

As their name suggests, osmotic diuretics such as mannitol (Osmitrol), isosorbide (Ismotic), and glycerin (Osmoglyn) draw fluid from the tissues of the body through principles of osmosis. Osmotic diuretics are typically given to treat or prevent acute renal failure (kidney failure). They may also be used to relieve intracranial pressure (swelling of the brain) in cases of head injury or hydrocephalus. 

The client with a head injury is experiencing increased intracranial pressure. The neurosurgeon prescribes the osmotic diuretic mannitol (Osmitrol). Which intervention should the nurse implement when administering this medication ... 

The osmotic diuretic mannitol (Osmitrol) to a client with a serum osmolality of 280 mOsm/kg. 

The client diagnosed with a brain tumor is ordered the osmotic diuretic mannitol (Osmitrol) to be given intravenously. Which interventions for this medication should the nurse implement Select all that apply. 

The client with a severe head injury was exhibiting decorticate posturing during the nurse s assessment 2 hours ago. The client is receiving mannitol (Osmitrol), an osmotic diuretic. Which data indicates the medication is not effective ... 

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