Generic name Trade name Classification Route Time/Frequency Normal Dosage- 20-80 mg

furosemide Lasix diuretic PO

Indications-LASIX is indicated in adults and pediatric patients for

Contraindications/warnings/interactions - Hypersensitivity. Geriatric
the treatment of edema associated with congestive heart failure,patients may have increased risk of side effects, especially
cirrhosis of the liver, and renal disease, including the nephrotic
hypotension and electrolyte imbalance, at usual doses.
syndrome. Oral LASIX may be used in adults for the treatment of
hypertension alone or in combination with other antihypertensive
agents.
Mechanism of action-Inhibits the reabsorption of sodium and Common side effects-CNS: dizziness, encephalopathy, headache, insomnia,
chloride from the loop of Henle and distal renal tubule. Increasesnervousness,EENT: hearing loss, tinnitus,CV: hypotension,
renal excretion of water, sodium, chloride, magnesium, hydrogen, GI: constipation, diarrhea, dry mouth, dyspepsia, nausea, vomiting,
GU:
and calcium. May have renal and peripheral vasodilatory effects. excessive urination,Derm: photosensitivity, rashes,
Diuresis and subsequent mobilization of excess fluid (edema, Endo: hyperglycemia,F and E: dehydration, hypochloremia, hypokalemia,
pleural effusions). Decreased blood pressure. hypomagnesemia , hyponatremia, hypovolemia, metabolic alkalosis
, Hemat: blood
dyscrasias,Metab: hyperglycemia, hyperuricemia, MS: arthralgia, muscle
cramps, myalgia,Misc: increased BUN.
Lab value alterations- Monitor electrolytes, renal and hepatic function, serum
glucose, and uric acid levels before and periodically throughout therapy. May
cause ↓ serum potassium, calcium, and magnesium concentrations. May also
cause ↑ BUN, serum glucose, creatinine, and uric acid levels
Nursing Considerations-Assess fluid status during therapy. Monitor daily
weight, intake and output ratios, amount and location of edema, lung sounds, skin
turgor, and mucous membranes. Diuretic use is associated with increased risk for
falls in older adults. Assess falls risk and implement fall prevention strategies.
Assess patient for tinnitus and hearing loss.
Interactions with other patient drugs, OTC, or herbal
medicines-↑ hypotension withantihypertensives, nitra te s. Why would you hold or not giveEvaluation- Check after giving
May need to take a potassium supplement because lasix depletes K+ levels.
this med?Dehydration, Decrease in edema, Decrease in
hypokalemia, excessive dizziness or abdominal girth, Decrease in
disorientation, tinnitus, blurred vision
blood pressure. Monitor I & O
Signs of ototoxicity.