Furosemide

Question 1

Indications - furosemide

Answer 1

❑ Acute pulmonary edema (BP >90 mmHg without S&S of shock)
❑ Hypertensive emergencies
❑ Removal of Potassium for management of Hyperkalemia

Question 2

Adult dosage - furosemide

Answer 2

Adult: 1.0 mg/kg to a max of 40-80mg SIVP over 1 to 2 minutes; If no response in 15-20 min double dose up to 2 mg/kg SIVP over 1 to 2 min. Give slow to prevent blindness.

Question 3

Pediatric dosage - furosemide

Answer 3

Pediatric: 0.5 - 1.0 mg/kg slow IV/IM push. You may repeat at double the initial dose if no effect in 2 hours if needed.

Question 4

Contraindications - furosemide

Answer 4

❑ Complete renal shutdown (anuria except acute)
❑ Hypokalemia
❑ Severe hypovolemia, hypotension, dehydration, BP < 90 systolic
❑ Hypersensitivity to furosemide and sulphonamides
❑ Electrolyte imbalance