Dose,
Name and Frequency,
Mechanism
Classification of Route, Duration Indication Contraindication Adverse Effects Nursing Responsibility
of Action
Drug of
Administration
Brand Name: Dose: Inhibits Furosemide is Contraindicated CNS: headache, Use cautiously to patients
Lasix 10 mg sodium and vertigo, dizziness, with hepatic cirrhosis,
Frequency: water indicated for the to patients with
paresthesia, severe renal impairment,
Generic Name: q12 reabsorption treatment of hypersensitivity weakness, with history of electrolyte
Furosemide Route: in the loop of restlessness, fever imbalance or hepatic
IV Henle and edema associated to drug and those
CV: orthostatic encephalopathy; drug may
Drug Class: increases with congestive with anuria. hypotension, lead to lethal hepatic coma
diuretic urine
thrombophlebitis
formation. As heart failure,
EENT: transient
the body’s
cirrhosis of the deadness, blurred Be aware that patients who
plasma
or yellowed vision, are allergic to sulfonamides
volume liver, and renal
tinnitus may also be allergic to
decreases,
disease, including GI: abdominal furosemide. Monitor patient
aldosterone
discomfort and closely.
production the nephrotic
increases, pain, diarrhea,
which syndrome anorexia, nausea
promotes To prevent nocturia, give
and vomiting,
sodium drug in the morning and
constipation and
reabsorption give second dose in the
pancreatitis
and the loss afternoon.
GU: nocturia,
of potassium polyuria, frequent
and hydrogen urination, oliguria
Monitor fluid intake and
ions. HEMA:
output and electrolyte,
Furosemide BUN, and carbon dioxide
agranulocytosis.
also increases levels.
aplastic anemia,
the excretion
of calcium, leucopenia,
Watch for signs of
magnesium, thrombocytopenia, hypokalemia such as muscle
bicarbonate, azotemia, anemia weakness and cramps
ammonium, HEPATIC: hepatic
and dysfunction, Reduce dosage if given with
phosphate. jaundice other antihypertensives;
By reducing METABOLIC: readjust dosage gradually as
intracellular volume depletion, BP responds.
and
dehydration,
extracellular Advise patients who miss a
asymptomatic,
fluid volume, dose to take the missed
the drug hyperuricemia,
impaired glucose dose as soon as
reduces blood
tolerance, remembered. However, if it
pressure and
hypokalemia, is almost time for the next
decreases
cardiac hypochloremia, dose, skip the missed dose
output. Over alkalosis, then continue with the
time, cardiac hyperglycemia, regular dosing schedule.
output returns dilutional Patients should not take a
to normal. hyponatremia, double dose to make up for
hypocalcemia, a missed one.
hypomagnesia Instruct patient to report loss
MUSCOLOSKELETA or gain of more than 3
L: muscle spasm pounds in 1 day, swelling in
SKIN: dermatitis, your ankles or fingers,
unusual bleeding or
purpura,
bruising, dizziness,
photosensitivity
trembling, numbness,
reactions, transient fatigue, muscle weakness or
pain at IM injection cramps.
OTHER: gout
Notify physician if patient
experiences hearing loss,
vertigo, or ringing, buzzing,
or sense of fullness in her
ears. Drug may need to be
discontinued.
Assess IV site during and
after IV administration, and
report signs of phlebitis
(local pain, swelling,
inflammation).
