DRUG STUDY

Medical Diagnosis: hydrocephalus, status post- shunt insertion

Category:

Indication/ Mechanism of Action Side Effects/ Nursing Considerations

Contraindication Adverse Effects
INDICATIONS: Inhibit reabsorption of  low blood  Assess patient’s nderlying
Generic Name: Edema due to cardiac, sodium and water in the pressure, condition before starting
furosemide hepatic & renal disease, ascending limb of the  dehydration and theraphy.
burns; mild to moderate loop of Henle by electrolyte  Monitor for renal
Brand Name: HTN, hypertensive interfering with the depletion (for cardiac,neurologic, GI
Lasix crisis, acute heart failure, chloride binding site of example, sodium, manifestations of
reduced urinary output the 1Na+, 1K+, 2Cl- potassium). hypokalemia.
Classification: due to gestoses, chronic cotransport system.  jaundice,  Monitor for CNS, GI,
Diuretics renal failure, nephrotic Loop diuretics increase  ringing in the ears cardiovascular,
syndrome. the rate of delivery of (tinnitus), integumentarym
Dosage: tubular fluid and  sensitivity to light neurologic manifestations
5mg(0.5ml) CONTRADICTIONS: electrolytes to the distal (photophobia), of jypocalcemia,
Anuria; hepatic coma & sites of hydrogen and  rash,  Monitor for CNS,
Frequency: precoma; severe potassium ion secretion, hyperactive reflexes,
 pancreatitis,
Every 12 hours. Hold for hypokalemia &/or while plasma volume depressed cardiac
 nausea,
BP less than 85 systolic hyponatremia; contraction increases output,nausea, vomiting,
aldosterone production.  diarrhea,
hypovolemia w/ or w/o tachycardia
Route: The increased delivery  abdominal pain,
hypotension.  Assess fluid volume
IV Push and high aldosterone and dizziness.
Hypersensitivity to status(urine,color, quality
levels promote sodium Increased blood
sulfonamides. and specific gravity)
reabsorption at the distal sugar and uric
acid levels  Assess patient tinnitus, or
tubules, thus increasing pain
the loss of potassium
and hydrogen ions.