ACTIVE LEARNING TEMPLATE: Medication
MEDICATION furosemide CATEGORY CLASs loop diuretics
REVIEW MODULE CHAPTER
PURPOSE OF MEDICATION
Expected Pharmacological Action
Therapeutic Use
Inhibits room service and of sodium and chloride, increases the renal excretion of water
Diuresis and mobilization of excess fluid (adema, plural effusion's) Decreased blood pressure
Complications Do you hydration, hypocalcemia, hypochloremia, hypokalemia, ECG slut and tea with prominent you wave, ST depression, prolonged PR interval, and more electrolyte imbalances
Medication Administration
Give last dose no later than 5 PM to minimize disruption of sleep cycle, PO may be taken with food or milk to minimize gastric irritation, tablets may be crushed, IV push don't dilute
Contraindications/Precautions Hypersensitivity, liver disease, electrolyte depletion, diabetes, renal impairment, children and older adults
Nursing Interventions
Excess fluid status, daily weight, I and O, skin turgor, mucous membranes, monitor blood pressure and pulse, assessed for risk, take labs for potassium, assess for tinnitus, assess for skin rash frequently
Interactions Antihypertensives, other diuretics, incense, cyclosporine, sucralfate
Client Education
Change position slowly, monitor glucose levels closely, monitor weight closely report 3+ pound gain, Report rash, muscle weakness, cramps, nausea, dizziness, tingling, numbness of extremities occurs
Evaluation of Medication Effectiveness
Decrease in Adema, decrease in weight, decrease abdominal girth, decrease in blood pressure
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE