Patients name Age/Sex CC Admitting Dx Name of Drug

: Marlyn Mendez : 42 years old/ Female : Back pain and pallor : Aplastic anemia R/O CAP Dosage, Frequency, Mechanism of and Route Action Brand Name: Lasix Dosage: 20 mg Chemical Effect: Special Inhibit sodium and chloride Frequency: q8H reabsorption at Generic Name: proximal and Furosemide distal tubules and Route: IVTT ascending loop of Henle Classification: Loop Diuretic Therapeutic effect: Promotes water and sodium excretion

Name Section Date Indications Indicated for patients with edema For acute pulmonary edema Contraindications Contraindicated in patients hypersensitive to drug or any of its components and in those with anuria Use cautiously in patient with hepatic cirrhosis Patients with allergy with sulfunamides may also be allergic to furosemide In pregnant woman, use only if benefits outweigh risks to fetus. In breastfeeding women, dont use drug. Adverse Reaction CNS: dizziness, headache, paresthesia, vertigo, weakness. CV: orthostatic hypotension, thrombophlebitis(with IV use), volume depletion, dehydration EENT: blurred or yellow vision, transient deafness GI: abdominal cramping, anorexia, constipation, diarrhea, nausea, pancreatitis, vomiting GU: azotemia, frequent urination, nocturia, oliguria, polyuria Hematologic: agranulocytosis, anemia, aplastic anemia, leukopenia, thrombocytopenia

: Clifford Estilo : BN4D : Nov. 21 24, 2011 Nursing Consideration Assess patient underlying condition before starting therapy. Monitor weight, peripheral edema, breath sounds, blood pressure, fluid intake and output, and electrolyte, glucose, BUN, and carbon dioxide levels Be alert for adverse reactions and drug interactions If oliguria or azotemia develops or increases, notify prescriber

Hepatic: hepatic dysfunction Metabolic: asymptomatic hyperuricemia; fluid and electrolyte imnbalances, including delutional hyponatremia, hypocalcemia, and hypomagnesemia; glucose intolerance; hyper glycemia; hypochloremic alkalosis; hypokalemia Skin: dermatitis, photosensitivity, purpura Other: gout, transient pain at I.M. injection site.

Instruct patient to report ringing of ears, severe abdominal pain, or sore throat and fever because they may indicate toxicity. Advise patient to stand slowly to prevent dizziness