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INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)


Generic Trade Classification Dose Route Time/Frequency
Name Name
furosemide Lasix diuretic 40mg PO qday

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
1-2 hr 30-60 min 6-8 hr
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)


Pulmonary edema; edema in CHF, hepatic disease, Contraindications/warnings/interactions Hypersensitivity, cross-sensitivity
nephrotic syndrome, ascites, hypertension with thiazides and sulfonamides, pre-existing electrolyte imbalance, hepatic
coma, or anuria; alcohol, avoid in patients with alcohol intolerance; Use
cautiously in: severe liver disease, electrolyte depletion

Common side effects dizziness, encephalopathy, headache, insomnia, nervousness


hearing loss, tinnitus, hypotension, constipation, diarrhea, dry mouth, dyspepsia, nausea
vomiting, excessive urination, photosensitivity, rashes, hyperglycemia, dehydration,
hypochloremia, hypokalemia, hypovolemia, metabolic alkalosis, blood
dyscrasias, hyperglycemia, hyperuricemia, arthralgia, muscle cramps, myalgia,
Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
lithium, non-depolarizing skeletal muscle relaxants, digitalis,
antihypertensives, nitrates, aminoglycosides,
cisplatin, vancomycin, St. Johns wort, aloe, cucumber, Be sure to teach the patient the following about this medication
dandelion, khella, horsetail, pumpkin, Queen Anne's lace. Change position slowly (orthostatic hypotension); alcohol; exercise during hot
weather; standing for long periods of time; diet high in K+, OTC meds or
herbal products; use of sunscreen and protective clothing. Does not cure
hypertension; weight loss, restricted sodium intake; stress reduction; cessation
of smoking
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Vital Signs this med? Decrease in edema
Assess fluid status, monitor weight, I/O amount Report if thirst, dry mouth, lethargy, Decrease in abdominal girth
and location of edema, lung sounds, weakness, hypotension, or oliguria occurs Increase in urinary output
skin turgor, mucus membranes. Decrease in BP
BP/Pulse Decrease in serum calcium when used to
manage hypercalcemia