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:
Acts by Inhibiting the with the ff. medical include: Postural hypotension -Assess the patient`s history for
reabsorption of sodium and conditions:  Increased urination Circulatory collapse hypersensitivity and drug allergies
Furosemide chloride from the loop of  Patients with  thirst Increase in cholesterol before starting the administration
henle and distal renal tubule. hypersensitivity to  muscle cramps and triglyceride serum
BRAND NAME As a result, renal excretion of furosemide or  itching or rash levels -Assess patient`s vital signs and
water, sodium, chloride, sulphonamides  weakness note the patient`s weight to
Lasix magnesium, potassium and  Increasing oliguria,  dizziness Gastrointestinal: monitor fluid changes.
calcium increases. anuria, fluid and  spinning sensation Nausea and vomiting
CLASSIFICATION 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 hours
post-surgical patient Urinary System:
to enhance urine Dark urine - In patients with ileostomy,
output, which can closely monitor intake and output
help to lower blood Integumentary: due to higher risk of dehydration
pressure, edema, and Pruritus and profound water and
fluid overload. Urticaria electrolyte depletion especially
Dermatitis potassium
DOSAGE & Vasculitis
FREQUENCY - Check patient's electrolyte levels
periodically throughout the
IM IV (Adults): Hematologic: treatment.
20–40 mg, may repeat Aplastic anemia
in 1–2 hr and increase Leukopenia - Assess skin condition to
by 20 mg every 1–2 hr Thrombocytopenic determine presence of fluid
purpura volume deficit or retention
until response is
obtained.
Maintenance dose
may be given every 6–
12 hr.

CONTINUOUS
INFUSION– BOLUS
0.1 mg/kg followed by
0.1 mg/kg/hr, double
every 2 hr to a
After:
maximum of 0.4
- Evaluate the patient`s response
mg/kg/hr.
to therapy and any adverse effects

-Instruct patient to avoid sudden

consumption of large amounts of
fluid