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8 Cards in this Set

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  • Back
Furosemide Trade Name
Furosemide Classification
-Loop Diuretic
-inhibits reabsorption of sodium and chloride in the ascending limb of the loop of Henle, resulting in an increase in the urnary excretion of sodium, chloride and water >>> profound diuresis
-Increases excretion of potassium, hydrogen, calcium, magnesium, bicarbonate, ammonium and phosphate
-Venodilation increases venous capacitance and decreases preload (venous return)
Furosemide Indications
-Adjunctive therapy in acute pulmonary edema (Systolic BP>90-100) without signs and symptoms of shock
Furosemide Dosing
-0.5 to 1 mg/kg
Furosemide Precautions
-Don't exceed recommended rate of admin
-Administer cautiously with:
1. diabetes mellitus
2. dehydration
3. severe renal disease
4. sensitivity to thiazide
Furosemide Contraindications
-Hypersensitivity to furosemide
-severe electrolyte delpetion
Furosemide Special Considerations
-Can cause excessive fluid loss and dehydration, resulting in hypovolemia and electrolyte imbalance
-Use less than 0.5mg/kg for new onset acute Pulmonary edema without hypovolemia
-Use 1mg/kg for acute or chronic volume overload, renal insufficiency
Furosemide Onset / Duration
-Venodilation: <5 minutes; diuresis within 5 minutes
-peak effect within 1/2 hour. Half life 1/2 to 1 hour
Venodilation: 2 < hours; diuretic effect about 2 hours