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13 Cards in this Set
- Front
- Back
furosemide
CLASSIFICATION -2 |
Loop diuretic,
Sulfonamide derivative |
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furosemide
ACTION |
Inhibits reabsorption of Na and Cl, ↑ excretion of Na, Ca, Mg, Cl, H2O, and Ka
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furosemide
USES |
Edema
(Hypercalcemia in Malignancy) |
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furosemide
TRADE NAME |
Lasix®
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furosemide
ADVERSE EFFECTS -8 |
Polyuria, glycosuria, loss of electrolytes, hyperglycemia, nausea, rash, pruritis (itch), hearing loss
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furosemide
CONTRAINDICATIONS -4 |
Allergy to sulfonamides; anuria, hypovolemia, electrolyte depletion
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furosemide
PRECAUTIONS -5 |
diabetes mellitus, dehydration, severe renal disease, cirrhosis, ascites
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furosemide
INTERACTIONS -3 |
Cisplatin, vancomycin, lithium
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furosemide
NURSING ASSESSMENT -4 |
-Assess for hearing loss, tinnitus, ear pain
-Monitor electrolytes -Assess fluid volume -Assess B/P |
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furosemide
NURSING DIAGNOSIS -3 |
-Fluid volume, deficient (side effects)
-Fluid volume, excess (uses) -Knowledge, deficient (teaching) |
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furosemide
IMPLEMENTATION -2 |
-Give in AM
-Ka replacement |
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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 |
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furosemide
EVALUATION -4 |
Positive therapeutic outcome
-decreased edema -decreased B/P -lowered Ca if malignancy -Increased diuresis |