Sample Card for Furosemide

FurosemideLoop Diuretic PO/IVP/IMActions: Blocks reabsorption of sodium and chloride in the loop of Henle _ prevents thepassive reabsorption of water _ diuresisUses: CHF, fluid volume overload, pulmonary edema, HTNNursing Implications: I & O, monitor K_ level, check skin turgor, monitor for leg cramps,provide K_-rich foods or supplements, give early in the day to prevent nocturia.If giving IVP, give at prescribed rate (Lasix 20 mg/minute); ototoxic if given fasterEffectiveness: Decrease in weight, output _ intake, less edema, lung sounds clearSide Effects: Hypokalemia, muscle cramps, hyponatremia, dehydrationTeaching Needs: Take early in the day eat foods high in K_Drug Names: Furosemide (Lasix)Bumetanide (Bumex)Torsemide (Demadex)Ethacrynic acid (Edecrin)

Sample Card for Digoxin

DigoxinCardiac Glycosides PO/IVAction: Positive inotropic action, increases force of ventricular contraction and therebyincreases cardiac output; slows the heart, allowing for increased filling time.Uses: Congestive heart failure and rapid atrial cardiac dysrhythmiasNursing Implications: Check apical pulse for 1 full minute; hold if _60. Check digoxinlevel (0.5–2.0 normal, _2.5 _ toxic). Check K_ level (hypokalemia is mostCommon causes of dysrhythmias in clients receiving dig [3.5–5.0 mEq/L]).Monitor for S/S of CHF, crackles in lungs, I _ O, edema. Question if the AP_60 or abnormal lab values.IVP—over 5 minutes: maintenance dose 0.125–0.25 mg q dayEffectiveness: S/S of CHF improve, output _ intake, weight decreases, breathingimproves, activity tolerance improves, atrial rate decreasesSide Effects: Toxic _ yellow haze or nausea and vomiting; ventricular rate decreases.If given along with a diuretic, increased risk of hypokalemia.Teaching Needs: To take radial pulse and hold if _60 and notify HCP.K_ replacement—eats food high in K_ or may need supplemental K_.Report weight gain of 3 lbs or more.Drug Names: Digoxin (Generic)LanoxinLanoxicap