DRUG CLASSIFICATION MODE OF INDICATIONS CONTRA- SIDE ADVERSE NURSING

ACTION INDICATIONS EFFECTS EFFECTS RESPONSIBILITY

GENERIC Diuretics are a Furosemide Edema due to Contraindicated Low blood Hyponatraemia, Assess patients
NAME: class of drugs that inhibits cardiac, to patient with pressure hypochloraemic underlying
increase the flow reabsorption of hepatic & Anuria. alkalosis, condition before
Furosemide of urine (termed Na and Cl renal disease Dehydration hypokalaemia, starting therapy
diuresis). Diuretics mainly in the Hepatic coma and headache,
BRAND burns mild to & pre coma electrolyte Monitor for renal,
NAME: work by removing medullary drowsiness,
sodium and portion of the moderate depletion (for muscle cramps, cardiac,
HTN severe example, neurological, GI
Lasix chloride from the ascending loop hyponatremia & sodium, hypotension,
body in the urine, of Henle. dry mouth, manifestations of
hypertensive or potassium). hypokalemia
and the sodium Excretion of K crisis hyponatremia thirst,
DOSE/ROUTE and chloride in and ammonia Ringing in the weakness, Assess fluid
turn draw excess is also acute heart hypo-volemia ears (tinnitus) lethargy, volume status
/FREQUENCY: water from the increased failure w/ or w/o restlessness, (urine color and
body. while uric acid hypotension. Sensitivity to oliguria, GI quality)
DRIP- reduced
excretion is light disturbances,
Furosemide urinary output
reduced. It (photophobia), hypovolaemia, Assess patient
drip 20mg due to
increases Hypersensitivity Rash dehydration, tinnitus or pain.
then shifted to gestoses,
plasma-renin to hyperuricaemia,
5mg/hr, Monitor for
activity, Chronic renal sulfonamides. acute
shifted depressed cardiac
plasma- failure, generalised
12mg/hr then output, nausea,
norepinephrine nephrotic exanthematous
shifted to vomiting and
and plasma- syndrome. pustulosis, drug
40mg given tachycardia
arginine- rash w/
post human
vasopressin eosinophilia Monitor BP, serum
albumin 25%
concentrations. and systemic electrolytes, renal
transfusion.
symptoms, function,
reversible or orthostasis,
ORAL- irreversible hearing (on high
40mg/tab twice hearing doses or rapid IV
a day then impairment, admin)
shifted to deafness,
40mg/tab once tinnitus, severe
a day then anaphylactic or
shifted and anaphylactoid
given again via reactions (e.g.
Intravenous w/ shock),
40mg every 12 Stevens-
hours. Johnson
syndrome, toxic
epidermal
necrolysis;
increased liver
enzyme,
cholesterol and
triglyceride
serum levels.

Potentially
Fatal: Serious
cardiac
arrhythmias.