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13 Cards in this Set

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  • Back
furosemide
CLASSIFICATION -2
Loop diuretic,
Sulfonamide derivative
furosemide
ACTION
Inhibits reabsorption of Na and Cl, ↑ excretion of Na, Ca, Mg, Cl, H2O, and Ka
furosemide
USES
Edema
(Hypercalcemia in Malignancy)
furosemide
TRADE NAME
Lasix®
furosemide
ADVERSE EFFECTS -8
Polyuria, glycosuria, loss of electrolytes, hyperglycemia, nausea, rash, pruritis (itch), hearing loss
furosemide
CONTRAINDICATIONS -4
Allergy to sulfonamides; anuria, hypovolemia, electrolyte depletion
furosemide
PRECAUTIONS -5
diabetes mellitus, dehydration, severe renal disease, cirrhosis, ascites
furosemide
INTERACTIONS -3
Cisplatin, vancomycin, lithium
furosemide
NURSING ASSESSMENT -4
-Assess for hearing loss, tinnitus, ear pain
-Monitor electrolytes
-Assess fluid volume
-Assess B/P
furosemide
NURSING DIAGNOSIS -3
-Fluid volume, deficient (side effects)
-Fluid volume, excess (uses)
-Knowledge, deficient (teaching)
furosemide
IMPLEMENTATION -2
-Give in AM
-Ka replacement
furosemide
PATIENT TEACHING -9
-Take early to avoid nocturia
-take with food or milk if nausea
-monitor weight, B/P & pulse
-eat Ka rich foods
-avoid orthostatic hypotension
-protect from sun
-note alcohol/OTCs interactions
-keep taking even if feeling better
-continue treating hypertension
furosemide
EVALUATION -4
Positive therapeutic outcome
-decreased edema
-decreased B/P
-lowered Ca if malignancy
-Increased diuresis