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Questions and Answers
What is the drug class of Furosemide?
What is the drug class of Furosemide?
What should be assessed as part of the patient assessment for Furosemide?
What should be assessed as part of the patient assessment for Furosemide?
Obtain a list of medications, assess vital signs, serum electrolytes, weight, and urine output.
Match the nursing diagnoses with their descriptions:
Match the nursing diagnoses with their descriptions:
Risk for deficient fluid volume = Related to fluid loss with excessive use of loop diuretics Risk for electrolyte imbalance = Related to potassium deficit from excess use of loop diuretics
What are the expected outcomes during the planning phase for a patient on Furosemide?
What are the expected outcomes during the planning phase for a patient on Furosemide?
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Monitor urinary output to determine body fluid __________.
Monitor urinary output to determine body fluid __________.
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Patients should be advised to take Furosemide in the evening to prevent sleep disruption.
Patients should be advised to take Furosemide in the evening to prevent sleep disruption.
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What should patients be advised regarding potassium while on Furosemide?
What should patients be advised regarding potassium while on Furosemide?
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What is an important observation during interventions for a patient on Furosemide?
What is an important observation during interventions for a patient on Furosemide?
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What should be evaluated to assess the effectiveness of Furosemide?
What should be evaluated to assess the effectiveness of Furosemide?
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Study Notes
Furosemide (Lasix) Overview
- Furosemide is classified as a loop diuretic, utilized primarily to manage fluid overload and hypertension.
Assessment
- Compile a comprehensive list of medications to identify potential interactions, particularly with Furosemide, including:
- Alcohol
- Aminoglycosides
- Anticoagulants (e.g., Warfarin)
- Corticosteroids
- Lithium
- Amphotericin B
- Digitalis
- Furosemide is highly protein-bound, raising concern for drug displacement.
- Establish baseline levels by assessing:
- Vital signs
- Serum electrolytes
- Body weight
- Urine output
- Compare patient's prescribed dose with recommended dosage and report any discrepancies.
- Check for hypersensitivity to sulfonamides.
Nursing Diagnoses
- Identify the risk for deficient fluid volume due to excessive diuretic use.
- Recognize the risk for electrolyte imbalances, particularly potassium deficiency.
Planning
- Goal to reduce patient’s edema and/or hypertension.
- Maintain serum chemistry levels within normal range.
Interventions
- Monitor urinary output; it should be at least 30 mL/hr to indicate positive fluid balance.
- Notify healthcare provider if urine output is insufficient to rule out renal impairment.
- Weigh patients regularly; a weight change of 2.2 lbs correlates to 1 L of fluid loss or gain.
- Vigilantly monitor vital signs, with a focus on any significant drop in blood pressure.
- Administer IV Furosemide slowly to avoid hearing loss, a potential side effect of rapid injection.
- Observe for signs and symptoms of hypokalemia, such as:
- Muscle weakness
- Abdominal distention
- Leg cramps
- Cardiac dysrhythmias
- Regularly check serum potassium levels, particularly for patients also taking Digoxin, as hypokalemia can intensify digitalis effects, leading to toxicity.
Patient Teaching
- Instruct patients to take Furosemide in the morning to minimize nocturia and sleep disturbances.
- Advise patients to rise slowly from sitting or lying positions to prevent dizziness from fluid loss.
- Recommend taking Furosemide with food to reduce gastrointestinal discomfort.
- Stress the importance of potassium supplementation and adequate nutrition to counteract potassium-wasting effects of the diuretic.
Evaluation
- Assess the effectiveness of Furosemide, looking for signs of decreased fluid retention, reduced respiratory distress, and improved cardiac output.
- Monitor for side effects and an increase in urine output as indicators of therapeutic response.
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Description
This quiz helps nursing students understand the nursing process related to Furosemide (Lasix). It covers drug classification, assessment protocols, and critical interactions with other medications. Prepare to enrich your pharmacology knowledge effectively!
