Name of Patient

B. V.

Age

20 y.o

Height

52

Diagnosis

G1P1 PU 31 wks. AOG/LMP cephalic, IPTL, severe

preeclampsia with pulmonary congestion
M. M. Olmillo

Sex

Female

Weight

60 kg

Website

milkv.co.vu

A/N

youre welcome J

Author

DRUG DATA
Generic name:
Furosemide

CLASSIFICATION
Pharmacologic:
Loop diuretic

Trade name/s:
Lasix
Patients dose:
20mg qo 12 hrs
Maximum dose:
40mg (may
increase dose in
increments of
20mg in 2 hr)
Minimum dose:
1 mg/kg

Therapeutic:
Loop diuretic

Pregnancy Category
Risk: C

Availability:
Tablets 20, 40,
80mg; oral
solution
10mg/ml,
40mg/ml;
injection
10mg/ml

Inhibits reabsorption
of sodium and
chloride from the
proximal and distal
tubules and
ascending limb of the
loop of Henle, leading
to a sodium-rich
dieresis

Onset: 5 min
Peak: 30 min
Duration: 2 hr
Metabolism: hepatic;
30-60 min

INDICATIONS

General:
> Oral, IV: Edema
associated with
heart failure,
cirrhosis, renal
disease
> IV: acute
pulmonary edema
> oral:
hypertension

Patients actual
indication:
Furosemide is
given to patient to
treat acute
pulmonary
congestion and
hypertension

Distribution: crosses
placenta; enters
breast milk

Route:
IVTT

Source: 2011
Lippincotts NDG

MECHANISM OF
ACTION

Excretion: feces, urine

Source: 2011
Lippincotts NDG

Source: 2011
Lippincotts NDG

Source: 2011
Lippincotts NDG

CONTRAINDICATI
ON

Contraindicated with
allergy to furosemide,
sulphonamides; allergy
to tartrazine; anuria,
severe renal failure;
hepatic coma;
pregnancy; lactation
Precaution:
Use cautiously with SLE,
gout, diabetes mellitus

Interactions:
> drug-drug: increased
risk of cardia arrhythmias
with cardiac glycosides;
increased risk of
ototoxicity with
aminoglycoside
antibiotics, cisplatin;
decreased absorption of
furosemide with
phenytoin; decreased GI
absorption with charcoal;
may reduce effect of
insulin or oral
antidiabetics because
blood glucose levels can
become elevated

Source: 2011
Lippincotts NDG

ADVERSE
EFFECTS

CNS: dizziness,
vertigo,
paresthesias,
xanthopsia,
weakness
CV: orthostatic
hypertension,
thrombophlebitis
Dermatologic:
photosensitivity,
pruritus, urticaria,
purpura
GI: nausea,
anorexia, vomiting,
oral and gastric
irritation
GU: nocturia,
glycosuria, urinary
bladder spasm
Hematologic:
leukopenia,
anemia,
thrombocytopenia,
Other: muscle
cramps and muscle
spasms

Source: 2011
Lippincotts NDG

NURSING
RESPONSIBILITIE
S

Before:
> check doctors order
> assess allergy to furosemide,
sulfonamides, tartrazine
> do not mix parenteral solution with
highly acidic solutions with ph below
3.5
> do not expose to light, which may
discolour tablets or solution
> educate the patient about the
purpose and importance of the drug
During:
> check the patency of the IV site and
IV line
> Give early in the day so that
increased urination will not disturb
sleep
> administer the right dose at the
right time
> measure and record weight to
monitor fluid changes
After:
> monitor blood glucose levels
> arrange to monitor serum
electrolytes, hydration, liver and renal
function
> arrange for potassium-rich diet or
supplemental potassium as needed
> report loss or gain of more than
1.5kg in 1 day, swelling in your ankles
or fingers, unusual bleeding or
bruising
> document and record.

Source: 2011 Lippincotts Nursing

Drug Guide