A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to give?
1. Furosemide (Lasix)
2. Hydrochlorothiazide (Aquazide)
3. Spironolactone (Aldactone)
4. Mannitol (Osmitrol)
1
Explanation:
1. Furosemide (Lasix) is the diuretic used to aid in excretion of calcium.
2. Thiazide diuretics (like hydrochlorothiazide) decrease calcium excretion and should not be given to the hypercalcemic client.
3. Spironolactone (Aldactone) is a potassium-sparing diuretic. While there is a net increase in calcium in the urine, it is not as effective an option as furosemide.
4. Mannitol (Osmitrol) is a diuretic used to decrease cerebral edema and is not routinely used to aid in excretion of calcium.
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