GENE

RIC
NAME

Furosemide

BRAND NAME:

Apo-Furosemide (CAN),
Furosemide Special (CAN),
Lasix

CLASSIFICATI
ON:

Diuretics

MODE
ACTION:

Inhibits the reabsorption of sodium and chloride from the loop

of henle and distal renal tubule. Increases renal excretion of
water,
sodium, chloride, magnesium, potassium and calcium.

ADVERSE
EFFECTS:

OF

Fluid and electrolyte imbalance.

Rashes, photosensitivity, nausea, diarrhoea,
blurred vision, dizziness, headache, hypotension.
Bone marrow depression (rare), hepatic dysfunction.
Hyperglycaemia, glycosuria, ototoxicity.
Potentially Fatal: Rarely, sudden death and cardiac arrest.
Hypokalaemia and magnesium depletion can cause cardiac
arrhythmias.

INDICATION:

Oral, IV: Edema associated with CHF, cirrhosis, renal disease

IV: Acute pulmonary edema
Oral: Hypertension

DOSAGE:

Available forms :Tablets20, 40, 80 mg; oral solution10 mg/mL,

40 mg/5 mL; injection10 mg/mL
Severe sodium and water depletion, hypersensitivity to
sulphonamides and furosemide, hypokalaemia, hyponatraemia,
precomatose states associated with liver cirrhosis, anuria or renal failure
Addisons disease.
Avoid with patients with alcohol intolerance

CONTRAINDICATION:

SIDE EFFECTS:

NURSING
RESPONSIBILITIES:

CNS blurred vision, dizziness, head ache, vertigo

EENT hearing loss, tinnitus
CV hypotension
GI anorexia, constipation, diarrhea, dry mouth, nausea, vomiting
GU excessive urination
Derm photosensitivity, rash
F and E dehydration
Furosemide is often given in conjunction with a potassium supplement
or a potassium-sparing diuretic to counteract potassium loss.
asses fluid status (monitor daily weight, input and output)
monitor blood pressure and pulse before administrationthis is to determine compliance in patients treated with hypertension
assess patients receiving digoxin for anorexia, nausea, vomiting, m
and confusion.
assess patients for tinnitus and hearing loss.
assess for allergy to sulphonamides
Monitor blood glucose closely; may cause increased blood glucose
Caution patient to change positions slowly to minimize orthostatic h
Advise patient to contact health care professional immedia
weakness, cramps, nausea, dizziness and numbness occurs.
Caution older patients or their caregivers about increased risk for fa
Furosemide is often given in conjunction with a potassium sup
potassium-sparing diuretic to counteract potassium loss.