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Drug Study

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NAME OF CLASSIFICATIO DOSAGE/

INDICATION MECHANISM OF ACTION SIDE EFFECT NURSING RESPONSIBILITIES


DRUG N TIME/ROUTE
 Fluid and
Loop diuretic Dosage-  Used for Furosemide is a potent electrolyte Nursing Consideration:
Generic 40mg treatment of loop diuretic that works imbalance.
Name: Time- OD severely ill to increase the excretion  Rashes,  Check doctors order
Furosemide Route- IVTT- patients with of Na+ and water by the photosensitivity  Perform hand hygiene
schizophrenia kidneys by inhibiting their  Nausea, before handling the patient
Brand but are reabsorption from the diarrhoea, blurred  Explain the purpose and
Name: Lasix unresponsive proximal and distal vision, dizziness, importance of the drug to
to standard tubules, as well as the headache, the patients
drugs. loop of Henle. It works hypotension.  Administer the right drug in
 It also reduces directly acts on the cells  Bone marrow the right route and dosage
the risk of of the nephron and depression (rare), at the right time
recurrent indirectly modifies the hepatic Interventions:
suicidal content of the renal dysfunction  BLACK BOX WARNING:
behaviors in filtrate.  Hyperglycaemia, Profound diuresis with
patients with glycosuria, water and electrolyte
schizophrenia ototoxicity. depletion can occur; careful
and  Potentially Fatal: medical supervision is
schizoaffective Rarely, sudden required.
disorders. death and cardiac  Administer with food or
Contraindications: arrest. milk to prevent GI upset.
Severe sodium and  Hypokalaemia  Reduce dosage if given with
water depletion, and magnesium other antihypertensives;
hypersensitivity to depletion can readjust dosage gradually
sulphonamides cause cardiac as BP responds.
and furosemide, arrhythmias.  Give early in the day so
hypokalaemia, that increased urination
hyponatraemia, will not disturb sleep.
precomatose  WARNING: Do not mix
states associated parenteral solution with
with liver cirrhosis, highly acidic solutions with
anuria or renal pH below 3.5.
failure. Addison’s  Do not expose to light, may
disease. discolor tablets or solution;
do not use discolored drug
or solutions.
 Discard diluted solution
after 24 hr.
 Measure and record weight
to monitor fluid changes.
 Arrange to monitor serum
electrolytes, hydration,
liver and renal function.
 Arrange for potassium-rich
diet or supplemental
potassium as needed.

Teaching points:
 Encourage patient to take
with food or meals to
prevent GI upset.
 Advised patient she may
experience these side
effects: Increased volume
and frequency of urination;
dizziness, feeling faint on
arising, drowsiness (avoid
rapid position changes;
hazardous activities, like
driving; and consumption
of alcohol); sensitivity to
sunlight (use sunglasses,
wear protective clothing, or
use a sunscreen); increased
thirst (suck on sugarless
lozenges; use frequent
mouth care); loss of body
potassium (a potassium-
rich diet or potassium
supplement will be
needed).
 Advise patient to report
loss or gain of more than 3
pounds in 1 day, swelling in
her ankles or fingers,
unusual bleeding or
bruising, dizziness,
trembling, numbness,
fatigue, muscle weakness
or cramps.

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