35 hours ago A patient is taking furosemide 40 mg daily for heart failure and hypertension. It is most important for the nurse to assess the patient for the development of a. low serum potassium, sodium, and magnesium, and elevated calcium. b. low serum potassium and … >> Go To The Portal
Potassium supplements or extra dietary potassium may be needed to counteract the effects of low potassium caused by furosemide. If you have diabetes, be aware that furosemide may increase your blood glucose levels.
Furosemide belongs to the class of medicines known as loop diuretics. It is a potent loop diuretic. 2. Upsides Used to relieve the body of excess fluid caused by heart failure, kidney failure, cirrhosis of the liver, and other conditions.
Common medications that may interact with furosemide include: other medications that lower potassium. People taking oral medications for diabetes may need to talk to their doctor about adjusting the dose of their medicine. Note that this list is not all-inclusive and includes only common medications that may interact with furosemide.
Bottom Line Furosemide significantly increases urination which relieves excess fluid, but its use may also lead to the depletion of certain electrolytes in the body (such as potassium). 5. Tips Dosages may need to be adjusted depending on the individual; higher dosages need extra monitoring by a doctor.
Careful monitoring of the patient's clinical condition, daily weight, fluids intake, urine output, electrolytes, i.e., potassium and magnesium, kidney function monitoring with serum creatinine and serum blood urea nitrogen level is vital to monitor the response of furosemide.
Furosemide side effectsnausea or vomiting.diarrhea.constipation.stomach cramping.feeling like you or the room is spinning (vertigo)dizziness.headache.blurred vision.More items...
NSAIDs reduce the vasodilation and natriuretic effects of furosemide by inhibiting the synthesis of prostaglandins, resulting in Na+ retention, azotemia, and hyperkalemia25). Furosemide induces various electrolyte imbalances including hypokalemia, hypomagnesemia, hypocalcemia, hyponatremia, and hyperuricemia3,16).
Blood pressure and electrolytes should be routinely monitored. (Moderate) Coadministration of furosemide and Angiotensin-converting enzyme inhibitors (ACE inhibitors) or angiotensin II receptor antagonists may result in severe hypotension and deterioration in renal function, including renal failure.
Thiazide diuretics, such as chlorothiazide (Diuril), chlorthalidone (Hygroton), and hydrochlorothiazide (Esidrix, HydroDiuril, Microzide) tend to deplete potassium levels. So do loop diuretics, such as bumetanide (Bumex) and furosemide (Lasix).
This medication may cause dehydration and electrolyte imbalance. Tell your doctor right away if you have any of these unlikely but serious side effects: muscle cramps, weakness, unusual tiredness, confusion, severe dizziness, fainting, drowsiness, unusual dry mouth/thirst, nausea, vomiting, fast/irregular heartbeat.
Lab Test Considerations: Monitor electrolytes (especially potassium), blood glucose, BUN, and serum uric acid levels before and periodically throughout course of therapy.
Loop diuretics (such as furosemide) and thiazides can cause rapid and significant urinary fluid excretion, as seen in our patient. This decreases extracellular fluid (ECF) volume and hence relieves symptoms associated with edema, but it concentrates ECF HCO3-, causing a metabolic alkalosis.
Furosemide is mainly used to treat hyperkalemia, which brings about its desired effect by removing the excess serum potassium through its action on loop of Henle. [23] This property of furosemide resulted in an increased urinary potassium levels in experimental rats.
Furosemide is used alone or in combination with other medications to treat high blood pressure. Furosemide is used to treat edema (fluid retention; excess fluid held in body tissues) caused by various medical problems, including heart, kidney, and liver disease.
Furosemide (Lasix) can be considered one of the ingredients that can cause elevations of BUN. This type of reversible elevations can be caused and are associated with the dehydration of the, and as a result, they should be avoided in the patients with the acute symptoms for the renal insufficiency 17.
Furosemide and digoxin are often used together but may require more frequent evaluation of your digoxin, potassium, and magnesium levels. You should notify your doctor if you have symptoms, such as weakness, tiredness, muscle pains or cramps, nausea, decrease appetite, visual problems, or irregular heartbeats.
Metoclopramide is used to treat GERD, slow gastric emptying, and nausea. A patient is receiving an 80 mg gentamycin invusion over 30 minutes every 12 hrs. The patient will receive the 4th dose of gentamycin today at 0900. The physician has ordered trough blood level to be drawn with the 4th dose.
The patient is asleep when the nurse enters the room. The nurse notices that the patient's breathing and heart rate are slow. The nurse attempts to arouse the patient, but the patient will not wake. The nurse initiates a CODE BLUE and can anticipate giving: Naloxone.
The lactulose pulls extra water into your colon to loosen your stool in order to rid your body of extra ammonia.". A patient reports taking four (4) buffered aspirin a day and is complaining of dizziness and ringing in the ears. The nurse should recognize that the patient is probably experiencing: Aspirin toxicity.
Give the second dose in the early evening to allow for the patient to sleep at night. The nurse is caring for a patient who is scheduled for surgery at 1200. The physician has left orders to give medications with a sip of water at 9 am.