Generic / Trade Name

Dosage / Frequency

Classification

Indication

Contraindicatio n Contraindicated in patients hypersensitive to drug and those with anuria.

Side Effects

Nursing Responsibilitites Alert: Monitor weight, blood pressure, and puls rate routinely with long term use.

Furosemide Acute Pulmonary Edema: Adults: 40 mg IV injected slowly over 1 to 2 minutes; then 80 mg IV in 60 to 90 minutes if needed.

Loop Diuretic

Acute Pulmonary Edema

Edema

CNS: vertigo, headache, dizziness, paresthesia, weakness, restlessness, fever.

Hypertension

Edema: Adults: 20 to 80 mg PO daily in the morning. If response in inadequate give a second dose and each succeeding dose every 6 to 8 hours. Carefully increase dose in 20 to 40 mg increments up too 600 mg

EENT: orthostatic hypotension, thrombophlebitis , with IV administration.

If Oliguria or Azotemia develops or increases, drug may be stopped.

GI: Abdominal discomfort and pain, diarrhea, anorexia, nausea, vomiting, constipation, pancreatitis.

Monitor fluid intake and output and electrolyte, BUN, and carbon dioxidelevels frequently.

Watch for signs of hypokalemia, such as muscle weakness and cramps.

GU:

daily. Once effective dose in attained, may give once or twice daily. Or 20 to 40 mg IV or IM., increased by 20 mg every 2 hours until desired effect achieved.

Azotemia, nocturia, polyuria, frequent urination, oliguria.

Consult prescriber or dietitian about a high-potassium diet or potassium supplements. Foods rich in potassium include citrus fruits, tomatoes, bananas, dates and apricots.

Infants and Children: 2mg/kg PO daily, increased by 1 to 2 mg/kg in 6 to 8 hours if needed; carefully adjusted up to 6mg/kg daily if needed.

Monitor glucose level in diabetic patients.

Hypertension: Adults: 40 mg PO bid. Dosage adjusted based on response. May be used as

Drug may not be well absorbed orally in patient with severe heart failure. Drug may need to be given IV even if patient is taking other oral drugs.

Monitor uric acid level, especially in patients with a

adjunct to other antihypertensiv e if needed.

history of gout.

Children: 0.5 to 2 mg/kg PO once or twice daily. Increase dose as needed up to 6mg /kg daily.

Monitor elderly patients, who are especially susceptible to excessive diuretics because circulatory collapse and thromboembolic complications are possible.

PATIENT TEACHING: Advise patient to take drug with food to prevent GI upset, and to take drug in morning to urinate at night.

Advise patient to immediately report ringing in ears, severe

abdominal pain, or sore throat or fever; these symptoms may indicate toxicity.