PHINMA University of Pangasinan

College of Health Sciences

Name of Student Nurse: _________Rosalinda Perigo ____________ Date: ______January 9, 2022___________

Level/block/group: ______3 BSN-08_____________ Hospital/Area: ___Post-Anesthesia Care Unit __________ Clinical Instructor: ___Mr. Raymond Mark A. Mata__________

NAME OF DRUG MECHANISM OF ACTION CONTRAINDICATIONS SIDE EFFECTS ADVERSE EFFECTS NURSING RESPONSIBILITIES
GENERIC NAME Contraindicated in clients Common side effects of bupivacaine Cardio Vascular System: Before:
Furosemide (Lasix) inhibits with the ff. medical include: Postural hypotension -Assess the patient`s history for
the reabsorption of sodium conditions:  Increased urination Circulatory collapse hypersensitivity and drug allergies
Furosemide and chloride from the loop  Patients with  thirst Increase in cholesterol before starting the administration
of henle and distal renal hypersensitivity to  muscle cramps and triglyceride serum
BRAND NAME tubule. As a result, renal furosemide or  itching or rash levels -Assess patient`s vital signs and
excretion of water, sodium, sulphonamides  weakness note the patient`s weight to
Lasix chloride, magnesium,  Increasing oliguria,  dizziness Gastrointestinal: monitor fluid changes.
potassium and calcium anuria, fluid and  spinning sensation Nausea and vomiting
CLASSIFICATION increases. electrolyte depletion  diarrhea Oral and gastric burning -Assess the patient for medical
state  stomach pain anorexia conditions that are
 Hepatic coma  constipation Adominal cramping contraindicated to Furosemide
Loop diuretics
Acute pancreatitis
Clay-colored stools During:
INDICATION
Loss of appetite and rapid - Administer oral form early in the
weight loss. day to prevent increased urination
Lasix is indicated to during sleep hour.
post-surgical patient Urinary System:
to enhance urine Dark urine -In patients with Ileostomy, use
output, which can lasix with great care because salt
help to lower blood Integumentary: imbalance and dehydration can
pressure, edema, and Pruritus result from additional fluid loss.
fluid overload. Urticaria
Dermatitis - Check patient's electrolyte levels
DOSAGE & Vasculitis periodically throughout the
FREQUENCY treatment.

Adults: Hematologic: - Assess skin condition to

PO 20-80 mg/day in a Aplastic anemia determine presence of fluid
single dose the first Leukopenia volume deficit or retention
time then repeat it 6-8 Thrombocytopenic After:
purpura - Evaluate the patient`s response
hour.
Children:
PO (Children>
1month) 2mg/kg
single dose.

IM, IV (adults):
20-40 mg repeat 1-2
until response is
obtained. Bolus 0.1
to therapy and any adverse effects
mg/kg followed by 0.1
mg/kg/hr. double q 2
-Instruct patient to avoid sudden
hr to a max of 0.4
consumption of large amounts of
mg/kg/hr
fluid

- Instruct patient to report hearing

IM, IV (children): 1-2
loss and gout symptoms
mg/kg dose q 6-12
hour. 0.05 mg/hr/kg
- Notify provider if gain more than