DRUG CLASSIFICATION INDICATIONS CONTRAINDICATIONS ADVERSE DESIRED NURSING

ORDER AND EFFECTS ACTION RESPONSIBILITIES

MECHANISM OF
ACTION
Diuretic Edema on CHF Contraindicated in >Observe 10 rights in giving
Furosemide patients hypersensitive to headache, Increase medication
20mg q8 Acts on the drug and those with vertigo, patient’s >Test if the patient is
descending loop of anuria dizziness, urine allergic to the drug.
henle in the kidney: orthostatic output. >To prevent nocturia, give
inhibiting Use cautiously in patients hypotensio PO and IM preparations in
reabsorption of with hepatic cirrhosis and n, the morning. Give second
electrolytes sodium in those allergic to abdominal dose in early afternoon.
and chloride, sulfonamides. Use during discomfort >Monitor weight, blood
causing excretion of pregnancy only if and pain, pressure, and pulse rate
sodium, calcium, potential benefits to diarrhea, routinely with long term use
magnesium, mother clearly outweigh and during rapid dieresis.
chloride water and risks to fetus. Use can lead to profound
some potassium. water and electrolyte
depletion.
>If oliguria or azotemia
develops or increases, drug
may need to be stopped.
>Monitor fluid intake and
output and electrolyte, BUN,
and carbon dioxide levels.
>Watch for signs of
hypokalemia, such as muscle
weakness and cramps.