Furosemide 0

Furosemide 0.65 mg IV OD Acts on the ascending loop of Henle in the kidney; inhibiting reabsorption of electrolytes sodium and chloride, causing excretion of sodium, calcium, magnesium, chloride, water and some potassium Indications: • Edema in CHF, nephritic syndrome, ascites Contraindications: • Hypersensitivity to sulfonamides • Anuria, hypovolemia, infants, lactation, electrolyte depletion CNS: headache, fatigue, weakness, vertigo, paresthesias CV: orthstatic hypotension, chest pain, ECG changes, circulatory collapse EENT: loss of hearing, ear pain, tinnitus, blurred vision ELECTROLYTES: hypokalemia, hypochloremic alkalosis, hypoagnesemia, hyperuricemia ENDO: hyperglycemia GI: nausea, diarrhea, dry mouth, vomiting, anorexia, cramps, pancreatitis GU: polyuria, reanl failure, glycosuria HEMA: thrombocytopenia, agranulocytosis, leucopenia, anemia INTEG: rash, pruritus, purpura, sweating, photosensitivity, urticaria MS: cramps, stiffness Increase patient’s urine output • Assess patient for tinnitus, hearing loss, ear pain • Monitor for renal, cardiac, neiurologic, GI, pulmonary manifestation of hypokalemia: acidic urine, decreased urine osmolality, nocturia, polyuria and polydipsia • Monitor for CNS, GI, cardiovascular, integumentary, neurologic manifestations of hypocalcemia: personality changes, anxiety, disturbances • Monitor for manifestations of hyponatremia • Monitor electrolytes Precautions:

• Pregnancy, DM, dehydration, severe renal disease, cirrhosis, ascites