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    Drug Study - Furosemide

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    Izza Deloria
    Loop diuretic Lasix (furosemide) is given intravenously at 80 mg post-blood transfusion to promote diuresis and lower blood pressure by enhancing sodium, chloride, and potassium excretion in the loop of Henle. It carries risks of electrolyte disturbances, dehydration, and circulatory collapse if excessive water loss occurs. Nurses must monitor the patient's fluid intake and output, vital signs, and serum electrolytes to prevent adverse effects.

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    Drug Study - Furosemide

    Uploaded by

    Izza Deloria
    216 views3 pages
    Loop diuretic Lasix (furosemide) is given intravenously at 80 mg post-blood transfusion to promote diuresis and lower blood pressure by enhancing sodium, chloride, and potassium excretion in the loop of Henle. It carries risks of electrolyte disturbances, dehydration, and circulatory collapse if excessive water loss occurs. Nurses must monitor the patient's fluid intake and output, vital signs, and serum electrolytes to prevent adverse effects.

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    Loop diuretic Lasix (furosemide) is given intravenously at 80 mg post-blood transfusion to promote diuresis and lower blood pressure by enhancing sodium, chloride, and potassium excretion in the loop of Henle. It carries risks of electrolyte disturbances, dehydration, and circulatory collapse if excessive water loss occurs. Nurses must monitor the patient's fluid intake and output, vital signs, and serum electrolytes to prevent adverse effects.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    216 views3 pages

    Drug Study - Furosemide

    Uploaded by

    Izza Deloria
    Loop diuretic Lasix (furosemide) is given intravenously at 80 mg post-blood transfusion to promote diuresis and lower blood pressure by enhancing sodium, chloride, and potassium excretion in the loop of Henle. It carries risks of electrolyte disturbances, dehydration, and circulatory collapse if excessive water loss occurs. Nurses must monitor the patient's fluid intake and output, vital signs, and serum electrolytes to prevent adverse effects.

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    © All Rights Reserved
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    DRUG STUDY

    Brand Name: Lasix


    Generic Name: furosemide

    NAME OF DRUG, DOSE, Dose: 80 mg (post-BT)

    AND ROUTE Route: IV

    CLASSIFICATION Loop diuretic


    OF DRUG
    This drug enhances excretion of sodium, chloride, potassium
    MECHANISM OF
    by direct action at ascending limb of loop of Henle.
    ACTION
    Therapeutic Effect: Produces diuresis, lowers blood pressure.
    This drug is given to the patient post blood transfusion to
    INDICATIONS counteract the increase of plasma and to avoid pulmonary
    edema via urine.
    This drug is contraindicated for patients who are hypertensive
    to furosemide. Anuria. Cautions: Hepatic cirrhosis, hepatic
    CONTRAINDICATIONS coma, severe electrolyte depletion, prediabetes, diabetes,
    systemic lupus erythematosus. Patients with prostatic
    hyperplasia/urinary stricture.
    Expected: Increased urinary frequency/volume.
    Frequent: Nausea, dyspepsia, abdominal cramps, diarrhea or
    constipation, electrolyte disturbances.
    SIDE EFFECTS Occasional: Dizziness, light-headedness, headache, blurred
    vision, paresthesia, photosensitivity, rash, fatigue, bladder
    spasm, restlessness, diaphoresis.
    Rare: Flank pain.
    Vigorous diuresis may lead to profound water loss/electrolyte
    depletion, resulting in hypokalemia, hyponatremia,
    dehydration. Sudden volume depletion may result in increased
    risk of thrombosis, circulatory collapse, sudden death. Acute
    ADVERSE EFFECTS hypotensive episodes may occur, sometimes several days after
    beginning therapy. Ototoxicity (deafness, vertigo, tinnitus)
    may occur, esp. in pts with severe renal impairment. Can
    exacerbate diabetes mellitus, systemic lupus erythematosus,
    gout, pancreatitis. Blood dyscrasias have been reported.
    1. Review patient’s medical history, especially if he is
    hypersensitive to furosemide.
    2. Check vital signs, especially blood pressure, pulse, for
    hypotension before administration.
    3. Assess baseline renal function, serum electrolytes,
    especially serum sodium, potassium.
    4. Assess skin turgor, mucous membranes for hydration
    status; observe for edema. Note skin temperature and
    moisture.
    NURSING
    5. Monitor input and output.
    RESPONSIBILITIES
    6. Instruct the mother to let patient drink adequate oral
    fluids to prevent constipation.
    7. If the patient feels nauseous and about to vomit, offer
    ice chips and crackers immediately.
    8. Instruct patient’s significant other to let the patient
    have adequate rest.
    9. Instruct patient’s significant other to change patient’s
    clothing and wipe the body with a towel if there is
    profuse perspiration.
    10. Instruct patient’s significant other to prevent the
    patient from scratching the skin if rashes occur.

    References:

    Managing Nausea and Vomiting at Home (2019). Retrieved on February 20, 2020, from
    https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/nausea
    -and-vomiting/nausea-and-vomiting.html

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