Erika E.

Hidalgo

NCM 102-N211

November 24, 2010

Drug Name Classification Indication Dosage Side Effects/ Contraindications Nursing Responsibilities
Adverse Effects / Precautions
Generic name: Diuretics  Edema due 40 mg IV CNS: blurred Contraindicated in: 1. Instruct patient to take
Furosemide vision, dizziness,
to heart headache, vertigo. furosemide as directed. Take
• Hypersensitivity
Brand names: failure, EENT: hearing missed doses as soon as
Lasix loss, tinnitus. • Cross-sensitivity
hepatic possible; do not double doses.
CV: hypotension. with thiazides
impairment 2. Counsel patient on side
GI: anorexia, and
or renal constipation, effects/ adverse effects of
diarrhea, dry sulfonamides
disease drug,
mouth, dyspepsia, may occur
• Hypertension 3. Advise patient to contact
nausea,
pancreatitis, • Hepatic coma or health care professional
vomiting. anuria immediately if muscle
GU: excessive weakness, cramps, nausea,
• Some liquid
urination.
products may dizziness, numbness, or
Derm:
contain alcohol,
photosensitivity, tingling of extremities occurs
avoid in patients
pruritis, rash. 4. Caution patient to change
with alcohol
Endo:
intolerance positions slowly to minimize
hyperglycemia,
hyperuricemia. orthostatic hypotension.
MS: muscle 5. Encourage patient to ingest
cramps.
potassium-rich foods daily
Neuro:
paresthesia. (e.g., bananas, oranges,
Misc: fever, peaches, dried dates) to
increased BUN, reduce or prevent potassium
nephrocalcinosis.
depletion.
6. Advise patient to contact
health care professional of
weight gain more than 3 lbs in
 1 day.
7. Advise patient to eat small,
frequent meals to avoid
nausea.
8. Advise patient to do mild
stretching exercises to avoid
muscle cramps.
9. Monitor intake and ouput.
10. Observe patients receiving
parenteral drug carefully;
closely monitor BP and vital
signs.