GENERIC BRAND CLASSIFIC INDICATION CONTRAINDIC MECHANISM OF DOSAGE AND ADVERSE NURSING

NAME NAME ATION ATION ACTION FREQUENCY EFFECTS CONSIDERATION

Furosemide Lasix  Pharmacologi General: Contraindicated Inhibits reabsorption Maximum dose: CNS: dizziness, Before:
c: > Oral, IV: Edema with allergy to of sodium and 40mg (may increase vertigo, > check doctor’s order
Loop diuretic associated with furosemide, chloride from the dose in increments of paresthesias, > assess allergy to furosemide,
Patient’s dose: Therapeutic: heart failure, sulphonamides; proximal and distal 20mg in 2 hr) xanthopsia, sulfonamides, tartrazine
20mg IVTT qo Loop diuretic cirrhosis, renal allergy to tubules and Minimum dose: weakness > do not mix parenteral solution
8 hrs disease tartrazine; anuria, ascending limb of 1 mg/kg CV: orthostatic with highly acidic solutions
> IV: acute severe renal the loop of Henle, Availability: hypertension, with ph below 3.5
pulmonary edema failure; hepatic leading to a sodium- Tablets – 20, 40, thrombophlebiti > do not expose to light, which
> oral: coma; pregnancy; rich dieresis 80mg; oral solution – s may discolour tablets or
hypertension lactation 10mg/ml, 40mg/ml; Dermatologic: solution
injection – 10mg/ml photosensitivity, > educate the patient about the
Patient’s actual pruritus, purpose and importance of the
indication: urticaria, drug
Furosemide is purpura During:
given to patient to GI: nausea, > check the patency of the IV
treat acute anorexia, site and IV line
pulmonary vomiting, oral > Give early in the day so that
congestion and and gastric increased urination will not
hypertension irritation disturb sleep
GU: nocturia, > administer the right dose at
glycosuria, the right time
urinary bladder > measure and record weight to
spasm monitor fluid changes
Hematologic: After:
leukopenia, > monitor blood glucose levels
anemia, > arrange to monitor serum
thrombocytopen electrolytes, hydration, liver and
ia, renal function
Other: muscle > arrange for potassium-rich
cramps and diet or supplemental potassium
muscle spasms 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.