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Patient name: Bb.

Boy

Room/Ward: PICU

Diagnosis: CHD, PCAP-C

Drug Data Generic Name: Furosemi de Brand Name: Lasix

Classificatio n/ Indication

Dose, Route & Frequency

Mechanism of Action

Contraindication

Side Effects/ Adverse Effects

Drug Interaction

Nursing Responsibilities

Antiinfective Pharmacolog ic: Loop diuretics Indication: IV: Edema associated with heart failure, cirrhosis, ren al disease. Also for acute pulmonary Edema

5mg , TIV, Inhibits BID reabsorption of sodium and chloride from the proximal and distal tubules and ascending limb of the loop of Henle, leading to a sodiumrich diuresis.

Contraindicated in patients with allergy to furosemide, sulfonamides; allergy » severe renalfailure » hepatic coma » pregnancy » lactation Precaution- with SLE- goutdiabetes mellitus

CNS: dizziness, vertigo, paresthesias, xanthopsia, weakness, headache, drowsiness, fatigue, blurred vision, tinnitus, irreversible hearing loss » CV: orthostatic hypotension, volume depletion, cardiacarrythmias, thrombophlebitis »Dermatologic: Photosensitivity, rash, pruritus, urticaria, purpura, exfoliative dermatitis, erythema multiforme »GI: vomiting, nausea, anorexia, oral and gastric

Before: » Ask if patient has allergy Drug-drug: •Increased risk of to furosemide cardiac arrhythmias andsulfonamides. with digitalis » Assess if pt. has SLE, glycosides (due to gout and diabetesmellitus. electrolyte » Arrange to monitor serum imbalance) electrolytes • Inc. riskof hydration, liver and ototoxicity with renal functions. aminoglycoside » Arrange for potassiumantibiotics, cisplatin rich diet orsupplemental • Decreased potassium as needed. absorption of » Observe 15 cardinal rights furosemide with in givingmedication. phenytoin During: • Dec. natriuretic » Administer with food or and milk to prevent GIupset. antihypertensive » Reduce dosage with other effects with antihypertensives, indomethacin, readjust dosage gradually as ibupropen, other BP responds. NSAIDs » Give early in the day • Dec. GI so that increase absorption with durination will not disturb charcoal sleep.

anemia. constipation. . » Avoid IV use if oral use is possible. glycosuria. hyperuricemia » Other: muscle cramps and muscle spasms • May reduce effect of insulin or oral antidiabetics because blood glucose levels can become elevated. which may discolour tablet or solution. » Do not mix parenteral solution with highlyacidic solutions with pH below 3.Refrigerate oral solution.. » Do not expose to light. thrombocytopenia. acute pancreatic.5 After: -Discard diluted solution after 24hrs. fluid and electrolyte imbalances. » Report loss or gain of more than 3 pounds in 1day. diarrhea. hyperglycemia. » Measure and record weight to monitor fluid changes. nocturia. urinary bladder spasm » HEMA: leukopenia.irritation. jaundice » GU: polyuria.