PHARMACOLOGY DATA SHEET

CLIENTS INNITIALS: B.D.

DRUG(TRADE): BUMEX

STUDENTS NAME: SARAH SCHNEIDER

MEDICAL DIAGNOSIS: Pneumonia (hx HTN, GENERIC: bumetanide

CAD, Thyroid disease)

DATE: 2/4/15

CLIENT ALLERGIES: Versed, Iodinate

diagnostic agents

ROUTE: IV; also comes in oral form and IM

PHARMACOLOGICAL KNOWLEDGE

DOSAGE/FREQUENCY: 0.5 mg daily

RELEVANT CLIENT DATA

THERAPEUTIC CLASSIFICATION OF
DRUG: Antihypertensive

REASON(S) CLIENT IS RECEIVING

DRUG: Hypertension

PHARMACOLOGICAL CLASSIFICATION
OF DRUG: Loop diuretic

UNIQUE CLIENT CHARACTERISTICS

WHICH MAY INFLUENCE RESPONSE TO
DRUGS: Thyroid disease, pneumonia, DM.

ACTIONS OF DRUG:
A potent loop diuretic with a rapid onset but short
duration of action. Acts on the loop of Henle to
decrease reabsorption of chloride and sodium
with resultant diuresis.
Therapeutic Effects: Diuresis and subsequent
mobilization of excess fluid.
Pregnancy Category: C
NORMAL DOSAGE RANGE: PO: 0.5mg2mg 1-3 times daily; IM/IV: 0.5mg-1mg 1-2
times daily.
ADVERSE EFFECTS: Hyponatremia,
hypochloremia, hypokalemia, hypomagnesemia,
dehydration, dizziness, H/A, hyperglycemia,
hypovolemia, ototoxicity, metabolic alkalosis

Contraindicated in: Hypersensitivity to drug or

sulfonamides, Uncorrected electrolyte
imbalances, Hepatic coma, Anuria and oliguria
Use cautiously in: Severe hepatic disease,
electrolyte depletion, diabetes mellitus, elderly
patients, pregnant or breastfeeding patients,
children younger than age 18.

NURSING INTERVENTIONS
NURSING ACTIONS SPECIFIC TO DRUG:
Assess for allergy to bumetanide, electrolyte
depletion, anuria, severe renal failure, hepatic
coma, SLE, gout, diabetes mellitus, lactation,
skin color, lesions; edema; orientation, reflexes,
hearing; pulses, baseline ECG, BP, orthostatic BP,
perfusion; R, pattern, adventitious sounds; liver
evaluation, bowel sounds; urinary output patterns;
CBC, serum electrolytes (including calcium),
blood sugar, liver and renal function tests, uric
acid, urinalysis. Give with food or milk to prevent
GI upset. Give single dose early in day so
increased urination will not disturb sleep, avoid
IV use if oral use is possible, provide diet rich in
potassium or supplemental potassium.
PATIENT TEACHING:
Take the drug early in day so increased urination
will not disturb sleep; take with food or meals to
prevent GI upset. Weigh yourself on a regular
basis, at the same time, and in the same clothing;
record the weight on your calendar. Side effects,
Report weight change of more than 3 lb in 1 day;
swelling in ankles or fingers; unusual bleeding or
bruising; nausea, dizziness, trembling, numbness,
fatigue; muscle weakness or cramps.
Pharmacology for Nursing Care 7th Edition pg.
447-448