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Generic Name Furosemide Peak 1-2 hours Trade Name Lasix Duration 6-8 hours Classification Loop diuretic Dose 40mg Route PO Time/frequency Q am
Onset 30-60 minutes Why med ordered: For Edema .
For IV meds, compatibility with IV drips and /or solutions NA Nursing Implications (what to focus on): Contraindications/warnings/interactions Hypersensitivity; Hepatic coma or anuria; Some liquid products may contain alcohol, avoid in patients with alcohol intolerance. Geriatricmay cause increased risk of side effects, especially hypotension and electrolyte imbalance, at usual doses. Common side effects: F and E:Dehydration, hypokalemia, hypochloremia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis. CNS:Blurred vision, dizziness, headache, vertigo. EENT:Hearing loss, tinnitus. CV:Decreased blood pressure, hypotension. GI:Anorexia, constipation/diarrhea, dry mouth, dyspepsia, N/V, pancreatitis. GU: Excessive urination Derm: Photosensitivity, pruritis, rash. Lab value alterations caused by medicine -Monitor electrolytes, renal and hepatic functions,serum glucose and uric acid levels (before and periodically). -Common decrease of serum potassium -May decrease sodium, calcium, magnesium concentrations -May increase BUN, serum glucose, creatinine, and uric acid levels. Be sure to teach the patient the following about this medication: -take as directed -change position slowly ( minimized orthostatic hypotension) -consult physician if on a high potassium diet -notify if a weight gain of 3lbs in one day. -consult physician if taking OTC -instruct pt. to notify of medication regimen before treatment or surgery. - advise to use sunscreen or protective clothing -contact PCP if muscle weakness, cramps, nausea, dizziness, numbness, or tingling of extremities occurs. -emphasize the importance of routine follow-up examinations. GERIATRICS: increased risks of falls Assessment Evaluation Why would you hold or not give this Check after giving med? -decreased edema Hypotensive -decrease in abdominal girth Fall risk and weight Signs of hypovalemia -increase urinary output -decrease in B/P
Mechanism of action and indications: Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tubule. Increases renal excretion of water, sodium, chloride, magnesium, potassium, and calcium. Effectiveness persists in impaired renal function. Therapeutic effect: diuresis and subsequent mobilization of excess fluid (edema, pleural effusions). Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Nsaids decrease the effect of this drug
Nursing Process- Assessment (Pre-administration assessment) -assess fluid status(I/O) -monitor daily weight -amount and location of edema, -lung sounds, skin turgor, mucous membranes -monitor B/P