Lasix
what is the trade name for furosemide
loop diuretic, antihypertensive
what is the classification of furosemide?
20-80 mg
what is the recommended dosage amount for furosemide?
4mg/min to avoid ototoxicity
what is the recommended dosage for furosemide IV push?
PO, IV, IM
what are the routes for furosemide?
edema, kidney disease, hypertension
what are the 3 uses for furosemide?
circulatory collapse, postural hypotension, leukopenia, muscle spasms
what are the 4 side effects for furosemide?
monitor blood count, serum and urine electrolytes
what are the 3 lab concerns for furosemide?
monitor BP, I&O, blood glucose, teach orthostatic hypotension
what are the nursing implications for furosemide?
Osmitrol
what is the trade name for mannitol?
osmotic diuretic
what is the classification of mannitol?
Acute oliguric renal failure or edema, Increased ICP or IOP
what are the uses for mannitol?
100 min
what is the half-life of mannitol?
C
what is the pregnancy category for mannitol?
confusion, headache, N/V, chest pain, transient volume expansion, Fluid and Electrolytes imbalances
what are the side effects of mannitol?
Extravasation may cause tissue necrosis, Do not give with blood transfusion , Pt should have Foley for I&O, If solution has crystals, warm in H2O. Then allow to cool to room temperature before giving. May need filtered tubing or needle
what are the nursing implications of mannitol?
thiazide diuretic, antihypertensive
what is the classification of hydrochlorothiazide?
12.5mg-100 mg
what is the recommended dosage for PO of Hydrochlorothiazide?
may be in combined form with antihypertensive medication
what is another dosage form of hydrochlorothiazide?
dizziness, headache, orthostatic hypotension, GI distress, N/V/D or constipation. Jaundice, Fluid and electrolyte imbalances, muscle cramps, respiratory distress, or anaphylaxis
what are the side effects of hydrochlorothiazide?
may increase glucose, cholesterol, triglycerides, Calcium or uric acid levels
what are the lab concerns of hydrochlorothiazide?
Administer in am, give with food, use sunscreen and protective clothing to avoid photosensitivity reaction
what are the teaching for hydrochlorothiazide?
potassium sparing diuretic
what is the classification of spironolactone?
25 mg, 50 mg, 100 mg
what are the recommended dosages for spironolactone PO?
C
what is the pregnancy category for spironolactone?
Edema, Hypertension, to detect or manage hyperaldosteronism, or hirsutism (females).
what are the uses for spironolactone?
Headache, drowsiness, ataxia, diarrhea, vomiting, menstrual disturbances, agranulocytosis, hyperkalemia, gynecomastia
what are the side effects of spironolactone?
Shown Tumorogenic long term in rats
what is the black box for spironolactone?
Monitor F and E, I& O and weight , especially in the elderly, may alter digoxin clearance, antihypertensive response may be delayed for up to 2 weeks.
what are nursing issues for spironolactone?
anticoagulant
what is the classification of heparin?
C
what is the pregnancy category for heparin?
SQ, IV
what is the routes for heparin?
5000 units every 12-24 hours for prevention of DVT, PE
what is the recommended dosage for heparin SQ
20,000-40,000 units/day by IV infusion with pump
what is the recommended dosage for heparin IV?
titrate hourly dose based on PTT (Q 4-6 hours)
what should you do when giving heparin IV?
Protamine sulfate 1-1.5 mg for each 100 units of Heparin
what is the antidote for heparin?
Prevent or treat DVT, PE, and embolism associated with atrial fibrillation
what are the uses for heparin?
Bleeding, thrombocytopenia, prolonged clotting time, white clot syndrome, hyperkalemia
what are the side effects of heparin?
watch for bleeding, Check order carefully as Heparin comes in several concentration. Always double check with another RN prior to giving
what are the nursing implications of heparin?
cardiac glycoside, positive inotrope
what is the classification of digoxin?
lanoxin
what is the trade name for digoxin?
0.75-1.5 mg
what is the recommended dosage for digoxin?
PO, IV
what are the routes for digoxin?
5 minutes
what is the IV push time for digoxin?
Strengthens myocardial contraction and slows conduction through SA & AV nodes
what is the action of digoxin?
digibind
what is the antidote for digoxin?
A-Fib, A-Flutter, SVT, CHF
what are the uses for digoxin?
NV, Bradycardia, HA, Visual disturbances
what are the side effects of digoxin?
Monitor/evaluate serum electrolytes
what are the lab concerns of digoxin?
0.5-2 ng/ml
what is the therapeutic serum digoxin level?
Apical pulse one minute & hold if < 60. Teach the pt to do the same, before every dose. Always correlate clinical assessment to lab values.
what are the nursing implication of digoxin?