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Furosemide Allergy and Administration Guide

Patient name: Bb. Boy Room/Ward: PICU Diagnosis: CHD, PCAP-C The document summarizes information about the drug Lasix (furosemide) including its classification as a loop diuretic, recommended dose of 5mg IV twice daily, mechanisms of action, potential contraindications like severe renal failure or pregnancy, and side effects involving the central nervous system, cardiovascular system, dermatological system, gastrointestinal system, genitourinary system, hematological system and others. It also provides nursing responsibilities related to monitoring electrolytes and fluid balance, administering the drug with food, and observing weight changes in the patient.

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Karla So Mejia
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240 views2 pages

Furosemide Allergy and Administration Guide

Patient name: Bb. Boy Room/Ward: PICU Diagnosis: CHD, PCAP-C The document summarizes information about the drug Lasix (furosemide) including its classification as a loop diuretic, recommended dose of 5mg IV twice daily, mechanisms of action, potential contraindications like severe renal failure or pregnancy, and side effects involving the central nervous system, cardiovascular system, dermatological system, gastrointestinal system, genitourinary system, hematological system and others. It also provides nursing responsibilities related to monitoring electrolytes and fluid balance, administering the drug with food, and observing weight changes in the patient.

Uploaded by

Karla So Mejia
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Patient name: Bb.

Boy

Room/Ward: PICU

Diagnosis: CHD, PCAP-C

Drug Data Generic Name: Furosemi de Brand Name: Lasix

Classificatio n/ Indication

Dose, Route & Frequency

Mechanism of Action

Contraindication

Side Effects/ Adverse Effects

Drug Interaction

Nursing Responsibilities

Antiinfective Pharmacolog ic: Loop diuretics Indication: IV: Edema associated with heart failure, cirrhosis, ren al disease. Also for acute pulmonary Edema

5mg , TIV, Inhibits BID reabsorption of sodium and chloride from the proximal and distal tubules and ascending limb of the loop of Henle, leading to a sodiumrich diuresis.

Contraindicated in patients with allergy to furosemide, sulfonamides; allergy severe renalfailure hepatic coma pregnancy lactation Precaution- with SLE- goutdiabetes mellitus

CNS: dizziness, vertigo, paresthesias, xanthopsia, weakness, headache, drowsiness, fatigue, blurred vision, tinnitus, irreversible hearing loss CV: orthostatic hypotension, volume depletion, cardiacarrythmias, thrombophlebitis Dermatologic: Photosensitivity, rash, pruritus, urticaria, purpura, exfoliative dermatitis, erythema multiforme GI: vomiting, nausea, anorexia, oral and gastric

Before: Ask if patient has allergy Drug-drug: Increased risk of to furosemide cardiac arrhythmias andsulfonamides. with digitalis Assess if pt. has SLE, glycosides (due to gout and diabetesmellitus. electrolyte Arrange to monitor serum imbalance) electrolytes Inc. riskof hydration, liver and ototoxicity with renal functions. aminoglycoside Arrange for potassiumantibiotics, cisplatin rich diet orsupplemental Decreased potassium as needed. absorption of Observe 15 cardinal rights furosemide with in givingmedication. phenytoin During: Dec. natriuretic Administer with food or and milk to prevent GIupset. antihypertensive Reduce dosage with other effects with antihypertensives, indomethacin, readjust dosage gradually as ibupropen, other BP responds. NSAIDs Give early in the day Dec. GI so that increase absorption with durination will not disturb charcoal sleep.

irritation, constipation, diarrhea, acute pancreatic, jaundice GU: polyuria, nocturia, glycosuria, urinary bladder spasm HEMA: leukopenia, anemia, thrombocytopenia, fluid and electrolyte imbalances, hyperglycemia, hyperuricemia Other: muscle cramps and muscle spasms

May reduce effect of insulin or oral antidiabetics because blood glucose levels can become elevated.

Avoid IV use if oral use is possible. Do not mix parenteral solution with highlyacidic solutions with pH below 3.5 After: -Discard diluted solution after 24hrs..Refrigerate oral solution. Measure and record weight to monitor fluid changes. Report loss or gain of more than 3 pounds in 1day. Do not expose to light, which may discolour tablet or solution.

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