Question

This is a partnered assignment started and discussed in class. Using Davis's Drug Guide, add any additional resources to finalize one card for each of the two researched drugs. Put your names on the two cards and include the following: Name of the Drug Classification of Drug Mechanism of Action Recommended Dose Routes of Administration Potential Side Effects Possible Adverse Effects Special Nursing Care Considerations and Implications for this Drug

Answer 1

NAME: XXXX

Name of the drug: Furosemide

Classification of the Drug: Loop Diuretics

Mechanism of Action:

It inhibits the water reabsorption by blocking the sodium, potassium, and chloride in the ascending loop of Henle. The filtered fluid ultimately increases the urine output. The onset of action for oral administration is one hour and lasts for 6-8 hours. the onset of action for injection is five minutes.

Recommended Dose and Route of Administration:

For PO: Adults - 20-80mg /day initially and increased to 20-40mg q8h.

Children - 2mg/kg initially increased to 1-2mg/kg q8h.

Neonates - 1-4mg/kg/dose 1-2 times.

For IV

Adults - 20 - 40mg initially and increased to 20mg every 1-2 hr and maintain dose may give q6h or q12h.

For Continuous infusion- 0.1mg/kg/hr to a maximum of 0.4mg/kg/hr.

Children: 1-2 mg/kg/dose q6h or q12h

For continuous infusion - 0.05mg/kg/hr.

Neonate: 1-2 mg/kg/dose q12h or q24h.

Potential Side Effects:

• Low blood pressure
• Dehydration
• Jaundice
• Tinnitus
• Photophobia
• rash
• nausea
• pancreatitis
• diarrhea
• Abdominal pain
• Dizziness.

Adverse Effects:

• Aplastic anemia
• Agranulocytosis
• Erythema Multiforme
• Toxic Epidermal Necrolysis
• Stevens-Johnson Syndrome

Nursing Considerations and Implications:

• Maintain intake and output chart.
• Daily weight monitoring.
• Assess for edema and signs and symptoms of dehydration.
• Maintain fall risk assessment.
• Use caution in the patient receiving digoxin because of the high risk of digoxin toxicity.
• Assess for side effects especially in patients receiving IV therapy.
• The last dose should be administered in the evening.
• IV administration should be given undiluted.
• Instruct the patient to change position as drug lead to orthostatic hypotension.
• Assess the diabetic patient for blood glucose level.