A Drug Study On: Furosemide Tablet
A Drug Study On: Furosemide Tablet
A Drug Study On: Furosemide Tablet
Furosemide Tablet
Submitted to:
Mr. Aaron Vergara, RN
Clinical Instructor
Submitted by:
Raijenne C. Versola, St.N
Hypertension
PO
Side effects
✓ Dehydration
✓ Hyponatremia, hypochloremia, hypokalemia
✓ Orthostatic hypotension (dizziness, lightheadedness,
fainting)
✓ Hyperglycemia, hyperuricemia
✓ Transient hearing loss
✓ Reduces high-density lipoprotein (HDL) cholesterol and
raises low-density lipoprotein (LDL) cholesterol and
triglycerides
✓ Magnesium deficiency (hypomagnesemia)
✓ Increase urinary excretion of calcium leading to
Side effects and hypocalcemia
Adverse Effects
Adverse effects
DRUG:
Amphotericin B, nephrotoxic ototoxic medications (e.g., lisinopril,
IV contrast dye, vancomycin) may increase risk of
nephrotoxicity, ototoxicity. May increase risk of lithium toxicity.
Other medications causing hypokalemia (e.g., HCTZ, laxatives)
may increase risk of hypokalemia.
HERBAL:
Drug Interaction
Ephedra, ginseng, yohimbe may worsen hypertension. Garlic
may increase antihypertensive effect.
FOOD:
None known.
LAB VALUES:
May increase serum glucose, BUN, uric acid. May decrease
serum calcium, chloride, magnesium, potassium, sodium.
1. Monitor for adequate intake and output and potassium
loss.
Rationale: Furosemide causes less water to be
reabsorbed as a result of inhibiting this reabsorption,
resulting in an increase in urine volume. However, these
changes can make it difficult for the kidneys to reabsorb
potassium, resulting in more potassium being lost in the
Nursing
urine. Hypokalemia is a condition caused by this.
Responsibilities
2. Monitor patient’s weight and vital signs.
Rationale: To create baseline assessments that can be
used in comparing the effectivity of the drug to the
patient’s body.
3. Monitor for signs and symptoms of hearing loss.
Rationale: With the experimental evidence that
furosemide does induce stria damage and the absence of
other recognized causes of deafness in this series of
patients, furosemide must be considered the etiologic
agent responsible for the permanent sensorineural
hearing loss.
4. Teach patient to take medication early in the day to
decrease nocturia.
Rationale: Furosemide is a commonly used drug among
patients with fluid retention, used to increase urination.
Well timed furosemide use can increase urination before
bedtime, thus reducing the amount of urine in the bladder
during the night.
5. Teach patient to report any hearing loss or signs of gout.
Rationale: Because Furosemide helps your body rid itself
of extra fluids, it's very likely that it's causing some Gout
flare-ups.
6. Tell patient that increased frequency, volume of urination
is expected.
Rationale: Furosemide is classified as a diuretic thus
increasing the passing of urine.
7. Eat foods high in potassium such as whole grains,
legumes, meat, bananas, apricots, orange juice,
potatoes, raisins.
Rationale: Preventing hypokalemia.
8. Watch for symptoms of electrolyte imbalance.
Rationale: Hypokalemia may result in changes in muscle
strength, tremor, muscle cramps, altered mental status,
cardiac arrhythmias; hyponatremia may result in
confusion, thirst, cold/clammy skin.
9. Auscultate lung sounds.
Rationale: Because respiratory sounds provide vital
information about the physiology and pathology of the
lungs, as well as airway obstruction, auscultation of the
lungs is an important part of a physical examination.
10. Note skin temperature, moisture.
Rationale: To detect early signs of electrolyte imbalance
specifically hyponatremia.
Bibliography:
Boehringer Ingelheim. (2021). Auscultation of Breath Sounds in IPF. Retrieved\
September 20, 2021 from Auscultation of Breath Sounds - Insights in IPF.
Medivizor. (2018, June 22). Can Furosemide and Desmopressin Effectively Treat
Nocturia?. Retrieved September 20, 2021 from Can furosemide and
desmopressin effectively treat nocturia? - Medivizor.