Initials of patient: R.ADate of Admission: Age: 48 years oldDiagnosis: Cerebral MalariaSex: MaleDate medication started:-------DRUGMECHANISM OF ACTIONINDICATIONCONTRAINDICATIONEFFECTSNURSING RESPONSIBILITIES

Generic Name:Furosemide

Brand Name:Lasix

Classification:Loop Diuretics

Dosage:20 mg

Route:IV

Frequency:TIV BP precaution

Form:injectable

Color:ClearInhibits reabsorption of sodium chloride from the proximal and distal tubules and ascending limb of the loop of Henle, leading to a sodium-rich diuresis.

For the treatment of edema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome. Also for the treatment of hypertension alone or in combination with other antihypertensive agents.Contraindicated with allergy to furosemide, sulfonamides, allergy to tartrazine, anuria, and severe renal failure

Adverse effects:GI: anorexia, pancreatitis. Endo: hyperglycemia, hyperuricemiaHemat: APLASTIC ANEMIA, AGRANULOCYTOSIS, hemolytic anemia, leukopenia, thrombocytopenia.Neuro: paresthesia.Side Effects:CNS: blurred vision, dizziness, headache, vertigo. EENT: hearing loss, tinnitus. CV: hypotension. GI: constipation, diarrhea, dry mouth, dyspepsia, nausea, vomiting. GU: excessive urination.F and E: dehydration, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis. MS: muscle cramps.PRE-ADMINISTRATION Check doctors order Observe 10 Rs

INTRA-ADMINISTRATION1. Give early in the day so that increased urination will not disturb sleep.POST ADMINISTRATION1. Assess fluid status. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. Notify physician or other health care professional if thirst, dry mouth, lethargy, weakness, hypotension, or oliguria occurs. 1. Monitor blood pressure and pulse before and during administration.1. Assess patients receiving digoxin for anorexia, nausea, vomiting, muscle cramps, paresthesia, and confusion.1. Document

SUBMITTED BY: RHODEVA JOY T. BRAGA