Initials of patient: R.

A
Age: 48 years old
Sex: Male
DRUG
Generic Name:
Furosemide
Brand Name:
Lasix
Classification:
Loop Diuretics

Dosage:
20 mg
Route:
IV
Frequency:
TIV

precaution
Form:
injectable
Color:
Clear

BP

Date of Admission:
Diagnosis: Cerebral Malaria
Date medication started:------MECHANISM OF
ACTION
Inhibits reabsorption of
sodium chloride from
the proximal and distal
tubules and ascending
limb of the loop of
Henle, leading to a
sodium-rich diuresis.

INDICATION

CONTRAINDICATION

EFFECTS

For the treatment of

edema associated with
congestive
heart
failure, cirrhosis of the
liver, and renal disease,
including the nephrotic
syndrome. Also for the
treatment
of
hypertension alone or
in combination with
other antihypertensive
agents.

Contraindicated
with
allergy
to
furosemide,
sulfonamides, allergy to
tartrazine,
anuria,
and
severe renal failure

Adverse effects:
GI:
anorexia,
pancreatitis.
Endo: hyperglycemia,
hyperuricemia
Hemat:
APLASTIC
ANEMIA,
AGRANULOCYTOSIS
, hemolytic anemia,
leukopenia,
thrombocytopenia.
Neuro: paresthesia.
Side Effects:
CNS: blurred vision,
dizziness,
headache,
vertigo.
EENT: hearing loss,
tinnitus.
CV:
hypotension.
GI:
constipation,
diarrhea, dry mouth,
dyspepsia,
nausea,
vomiting.
GU:
excessive
urination.
F and E: dehydration,
hypocalcemia,
hypochloremia,
hypokalemia,
hypomagnesemia,
hyponatremia,

NURSING
RESPONSIBILITIES
PREADMINISTRATION
Check
doctors
order
Observe 10 Rs

INTRAADMINISTRATION
Give early in the day
so that increased
urination will not
disturb sleep.
POST
ADMINISTRATION
Assess fluid status.
Monitor
daily
weight, intake and
output
ratios,
amount and location
of edema, lung
sounds, skin turgor,
and
mucous
membranes. Notify
physician or other
health
care
professional if thirst,
dry mouth, lethargy,
weakness,
hypotension,
or
oliguria occurs.
Monitor
blood
pressure and pulse
before and during

hypovolemia, metabolic
alkalosis.
MS: muscle cramps.

SUBMITTED BY: RHODEVA JOY T. BRAGA

administration.
Assess
patients
receiving
digoxin
for anorexia, nausea,
vomiting,
muscle
cramps, paresthesia,
and confusion.
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