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NURS 2516 Clinical Medications Worksheets Generic Name Furosemide Peak 30 min Trade Name Lasix Onset 5 min

Classification
loop diuretics

Dose

Route

Time/frequency

20 mg IVP Today Duration For IV meds, compatibility with IV drips and /or solutions Direct IV-administer undiluted. 2 hours RATE: administer slowly over 1-2 min. Nursing Implications (what to focus on) Contraindications/warnings/interactions
Hypersensitivity. Geriatric patients may have increased risk of side effects, especially hypotension and electrolyte imbalance, at usual doses.

Mechanism of action and indications (Why med ordered)
Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tubule. Increases renal excretion of water, sodium, chloride, magnesium, hydrogen, and calcium. May have renal and peripheral vasodilatory effects. Diuresis and subsequent mobilization of excess fluid (edema, pleural effusions). Decreased blood pressure.

Common side effects
CNS: dizziness, encephalopathy, headache, insomnia, nervousness, EENT: hearing loss, tinnitus, CV: hypotension, GI: constipation, diarrhea, dry mouth, dyspepsia, nausea, vomiting, GU: excessive urination, Derm: photosensitivity, rashes, Endo: hyperglycemia, F and E: dehydration, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis, Hemat: blood dyscrasias, Metab: hyperglycemia, hyperuricemia, MS: arthralgia, muscle cramps, myalgia, Misc: increased BUN.

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)
↑ hypotension with antihypertensives , nitrates .

Lab value alterations caused by medicine
Monitor electrolytes, renal and hepatic function, serum glucose, and uric acid levels before and periodically throughout therapy. May cause ↓ serum potassium, calcium, and magnesium concentrations. May also cause ↑ BUN, serum glucose, creatinine, and uric acid levels

May need to take a potassium supplement because lasix depletes K+ levels.

Be sure to teach the patient the following about this medication
Caution patient to change positions slowly to minimize orthostatic hypotension. increased risk for falls. Suggest strategies for fall prevention

Nursing Process- Assessment (Pre-administration assessment)
Assess fluid status during therapy. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. Diuretic use is associated with increased risk for falls in older adults. Assess falls risk and implement fall prevention strategies. Assess patient for tinnitus and hearing loss.

Assessment Why would you hold or not give this med? Dehydration, hypokalemia, excessive dizziness or disorientation, tinnitus, blurred vision

Evaluation Check after giving
Decrease in edema, Decrease in abdominal girth, Decrease in blood pressure. Monitor I & O Signs of ototoxicity.