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Lasix

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NURS 2516 Clinical Medications Worksheets

Generic Trade Name Classification Dose Route Time/frequency


Name
Furosemide Lasix loop diuretics 20 mg IVP Today
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
Direct IV-administer undiluted.
30 min 5 min 2 hours RATE: administer slowly over 1-2 min.
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Inhibits the reabsorption of sodium and chloride from the Hypersensitivity. Geriatric patients may have increased risk of
loop of Henle and distal renal tubule. Increases renal side effects, especially hypotension and electrolyte imbalance, at
excretion of water, sodium, chloride, magnesium, hydrogen, usual doses.
and calcium. May have renal and peripheral vasodilatory Common side effects
effects. Diuresis and subsequent mobilization of excess fluid CNS: dizziness, encephalopathy, headache, insomnia,
(edema, pleural effusions). Decreased blood pressure. nervousness, EENT: hearing loss, tinnitus, CV: hypotension,
GI: constipation, diarrhea, dry mouth, dyspepsia, nausea,
vomiting, GU: excessive urination, Derm: photosensitivity, rashes,
Endo: hyperglycemia, F and E: dehydration, hypochloremia,
hypokalemia, hypomagnesemia, hyponatremia, hypovolemia,
metabolic alkalosis, Hemat: blood dyscrasias, Metab:
hyperglycemia, hyperuricemia, MS: arthralgia, muscle cramps,
myalgia, Misc: increased BUN.
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor electrolytes, renal and hepatic function, serum glucose,
↑ hypotension with antihypertensives , nitrates . and uric acid levels before and periodically throughout therapy.
May need to take a potassium supplement because lasix May cause ↓ serum potassium, calcium, and magnesium
concentrations. May also cause ↑ BUN, serum glucose, creatinine,
depletes K+ levels. and uric acid levels
Be sure to teach the patient the following about this
medication
Caution patient to change positions slowly to minimize orthostatic
hypotension. increased risk for falls. Suggest strategies for fall
prevention
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess fluid status during therapy. Monitor daily med? Decrease in edema, Decrease in
weight, intake and output ratios, amount and Dehydration, hypokalemia, excessive abdominal girth, Decrease in
location of edema, lung sounds, skin turgor, and blood pressure. Monitor I & O
mucous membranes. Diuretic use is associated
dizziness or disorientation, tinnitus, Signs of ototoxicity.
with increased risk for falls in older adults. blurred vision
Assess falls risk and implement fall prevention
strategies. Assess patient for tinnitus and
hearing loss.

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