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    Furosemide Drug Study

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    milkv
    B.V. is a 20-year-old female patient who is 31 weeks pregnant. She has been diagnosed with severe preeclampsia with pulmonary congestion. She weighs 60kg and is being given furosemide 20mg every 12 hours intravenously to treat acute pulmonary congestion and hypertension. Furosemide is a loop diuretic that works by inhibiting sodium and chloride reabsorption in the kidneys, leading to increased urine output. As a diuretic, it is indicated for edema caused by conditions like heart failure, cirrhosis and renal disease. It crosses the placenta so its use in pregnancy requires caution.

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    © All Rights Reserved
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    Furosemide Drug Study

    Uploaded by

    milkv
    29K views1 page
    B.V. is a 20-year-old female patient who is 31 weeks pregnant. She has been diagnosed with severe preeclampsia with pulmonary congestion. She weighs 60kg and is being given furosemide 20mg every 12 hours intravenously to treat acute pulmonary congestion and hypertension. Furosemide is a loop diuretic that works by inhibiting sodium and chloride reabsorption in the kidneys, leading to increased urine output. As a diuretic, it is indicated for edema caused by conditions like heart failure, cirrhosis and renal disease. It crosses the placenta so its use in pregnancy requires caution.

    Original Description:

    a drug study about furosemide

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    B.V. is a 20-year-old female patient who is 31 weeks pregnant. She has been diagnosed with severe preeclampsia with pulmonary congestion. She weighs 60kg and is being given furosemide 20mg every 12 hours intravenously to treat acute pulmonary congestion and hypertension. Furosemide is a loop diuretic that works by inhibiting sodium and chloride reabsorption in the kidneys, leading to increased urine output. As a diuretic, it is indicated for edema caused by conditions like heart failure, cirrhosis and renal disease. It crosses the placenta so its use in pregnancy requires caution.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29K views1 page

    Furosemide Drug Study

    Uploaded by

    milkv
    B.V. is a 20-year-old female patient who is 31 weeks pregnant. She has been diagnosed with severe preeclampsia with pulmonary congestion. She weighs 60kg and is being given furosemide 20mg every 12 hours intravenously to treat acute pulmonary congestion and hypertension. Furosemide is a loop diuretic that works by inhibiting sodium and chloride reabsorption in the kidneys, leading to increased urine output. As a diuretic, it is indicated for edema caused by conditions like heart failure, cirrhosis and renal disease. It crosses the placenta so its use in pregnancy requires caution.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Name of Patient

    B. V.

    Age

    20 y.o

    Height

    52

    Diagnosis

    G1P1 PU 31 wks. AOG/LMP cephalic, IPTL, severe


    preeclampsia with pulmonary congestion
    M. M. Olmillo

    Sex

    Female

    Weight

    60 kg

    Website

    milkv.co.vu

    A/N

    youre welcome J

    Author

    DRUG DATA
    Generic name:
    Furosemide

    CLASSIFICATION
    Pharmacologic:
    Loop diuretic

    Trade name/s:
    Lasix
    Patients dose:
    20mg qo 12 hrs
    Maximum dose:
    40mg (may
    increase dose in
    increments of
    20mg in 2 hr)
    Minimum dose:
    1 mg/kg

    Therapeutic:
    Loop diuretic

    Pregnancy Category
    Risk: C

    Availability:
    Tablets 20, 40,
    80mg; oral
    solution
    10mg/ml,
    40mg/ml;
    injection
    10mg/ml

    Inhibits reabsorption
    of sodium and
    chloride from the
    proximal and distal
    tubules and
    ascending limb of the
    loop of Henle, leading
    to a sodium-rich
    dieresis

    Onset: 5 min
    Peak: 30 min
    Duration: 2 hr
    Metabolism: hepatic;
    30-60 min

    INDICATIONS

    General:
    > Oral, IV: Edema
    associated with
    heart failure,
    cirrhosis, renal
    disease
    > IV: acute
    pulmonary edema
    > oral:
    hypertension

    Patients actual
    indication:
    Furosemide is
    given to patient to
    treat acute
    pulmonary
    congestion and
    hypertension

    Distribution: crosses
    placenta; enters
    breast milk

    Route:
    IVTT

    Source: 2011
    Lippincotts NDG

    MECHANISM OF
    ACTION

    Excretion: feces, urine

    Source: 2011
    Lippincotts NDG

    Source: 2011
    Lippincotts NDG

    Source: 2011
    Lippincotts NDG

    CONTRAINDICATI
    ON

    Contraindicated with
    allergy to furosemide,
    sulphonamides; allergy
    to tartrazine; anuria,
    severe renal failure;
    hepatic coma;
    pregnancy; lactation
    Precaution:
    Use cautiously with SLE,
    gout, diabetes mellitus

    Interactions:
    > drug-drug: increased
    risk of cardia arrhythmias
    with cardiac glycosides;
    increased risk of
    ototoxicity with
    aminoglycoside
    antibiotics, cisplatin;
    decreased absorption of
    furosemide with
    phenytoin; decreased GI
    absorption with charcoal;
    may reduce effect of
    insulin or oral
    antidiabetics because
    blood glucose levels can
    become elevated

    Source: 2011
    Lippincotts NDG

    ADVERSE
    EFFECTS

    CNS: dizziness,
    vertigo,
    paresthesias,
    xanthopsia,
    weakness
    CV: orthostatic
    hypertension,
    thrombophlebitis
    Dermatologic:
    photosensitivity,
    pruritus, urticaria,
    purpura
    GI: nausea,
    anorexia, vomiting,
    oral and gastric
    irritation
    GU: nocturia,
    glycosuria, urinary
    bladder spasm
    Hematologic:
    leukopenia,
    anemia,
    thrombocytopenia,
    Other: muscle
    cramps and muscle
    spasms

    Source: 2011
    Lippincotts NDG

    NURSING
    RESPONSIBILITIE
    S

    Before:
    > check doctors order
    > assess allergy to furosemide,
    sulfonamides, tartrazine
    > do not mix parenteral solution with
    highly acidic solutions with ph below
    3.5
    > do not expose to light, which may
    discolour tablets or solution
    > educate the patient about the
    purpose and importance of the drug
    During:
    > check the patency of the IV site and
    IV line
    > Give early in the day so that
    increased urination will not disturb
    sleep
    > administer the right dose at the
    right time
    > measure and record weight to
    monitor fluid changes
    After:
    > monitor blood glucose levels
    > arrange to monitor serum
    electrolytes, hydration, liver and renal
    function
    > arrange for potassium-rich diet or
    supplemental potassium as needed
    > report loss or gain of more than
    1.5kg in 1 day, swelling in your ankles
    or fingers, unusual bleeding or
    bruising
    > document and record.

    Source: 2011 Lippincotts Nursing


    Drug Guide

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