DRUG STUDY

Medical Diagnosis: hydrocephalus, status post- shunt insertionCategory:

Indication/ Contraindication

Mechanism of Action Side Effects/ Adverse Effects

Nursing Considerations

Generic Name:furosemide

Brand Name:Lasix

Classification:Diuretics

Dosage:5mg(0.5ml)

Frequency:Every 12 hours. Hold for BP less than 85 systolic

Route:IV Push

INDICATIONS : Edema due to cardiac, hepatic & renal disease, burns; mild to moderate HTN, hypertensive crisis, acute heart failure, reduced urinary output due to gestoses, chronic renal failure, nephrotic syndrome.

CONTRADICTIONS : Anuria; hepatic coma & precoma; severe hypokalemia &/or hyponatremia; hypovolemia w/ or w/o hypotension. Hypersensitivity to sulfonamides.

Inhibit reabsorption of sodium and water in the ascending limb of the loop of Henle by interfering with the chloride binding site of the 1Na+, 1K+, 2Cl- cotransport system. Loop diuretics increase the rate of delivery of tubular fluid and electrolytes to the distal sites of hydrogen and potassium ion secretion, while plasma volume contraction increases aldosterone production. The increased delivery and high aldosterone levels promote sodium reabsorption at the distal tubules, thus increasing the loss of potassium and hydrogen ions.

low blood pressure,

dehydration and electrolyte depletion (for example, sodium, potassium).

jaundice, ringing in the ears

(tinnitus), sensitivity to light

(photophobia), rash, pancreatitis, nausea, diarrhea, abdominal pain,

and dizziness. Increased blood sugar and uric acid levels

Assess patient’s nderlying condition before starting theraphy.

Monitor for renal cardiac,neurologic, GI manifestations of hypokalemia.

Monitor for CNS, GI, cardiovascular, integumentarym neurologic manifestations of jypocalcemia,

Monitor for CNS, hyperactive reflexes, depressed cardiac output,nausea, vomiting, tachycardia

Assess fluid volume status(urine,color, quality and specific gravity)

Assess patient tinnitus, or pain