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NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


furosemide Lasix loop diuretics 20 mg Po qD
80 mg q as x’s 10 days
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
1-2 hr 30-60 min 6-8 hr

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
CHF Geriatric patients may have increased risk of side effects,
Inhibits the reabsorption of sodium and chloride from the loop especially hypotension and electrolyte imbalance, at usual doses
of Henle and distal renal tubule Common side effects
Increases renal excretion of water, sodium, chloride, dehydration, hypochloremia, hypokalemia, hypomagnesemia,
magnesium, hydrogen, and calcium hyponatremia, hypovolemia, metabolic alkalosis,

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor electrolytes, renal and hepatic function, serum glucose,
↑ hypotension with antihypertensives , nitrates and uric acid levels before and periodically throughout therapy.
↑ risk of hypokalemia with other diuretics, laxatives May cause ↓ serum potassium, calcium, and magnesium
concentrations. May also cause ↑ BUN, serum glucose, creatinine,
and uric acid levels
Be sure to teach the patient the following about this
medication
Caution patient to change positions slowly to minimize orthostatic
hypotension.
Instruct patient to consult health care professional regarding a diet
high in potassium
Caution older patients or their caregivers about increased risk for
falls. Suggest strategies for fall prevention
Advise patient to contact health care professional immediately if
muscle weakness, cramps, nausea, dizziness, numbness, or
tingling of extremities occurs
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess fluid status during therapy. Monitor daily med? Decrease in edema
weight, intake and output ratios, amount and Monitor blood pressure and pulse before Decrease in abdominal girth
location of edema, lung sounds, skin turgor, and and during administration. Monitor Increase in urinary output
mucous membranes. Notify physician or other frequency of prescription refills to Decrease in blood pressure
health care provider if thirst, dry mouth, lethargy, determine compliance in patients treated Decrease in serum calcium when
weakness, hypotension, or oliguria occurs for hypertension used to manage hypercalcemia
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.
Assess for allergy to sulfonamides