Furosemide

Question 1

Furosemide Class

Answer 1

Loop diuretic

Question 2

Furosemide MOA

Answer 2

Inhibits electrolyte reabsorption in the ascending Loop of Henle. Promotes excretion of sodium, potassium, chloride. Vasodilation increases venous capacitance and decreases afterload.

Question 3

Furosemide Indications

Answer 3

Pulmonary edema, CHF

Question 4

Furosemide Contraindications

Answer 4

• Anuria (relative)
• Hypovolemia
• Hypotension

Question 5

Furosemide Adverse Reactions

Answer 5

• May exacerbate hypovolemia
• Hyperglycemia (due to hemoconcentration)
• Hypokalemia
• May decrease the response to pressors

Question 6

Furosemide Incompatibilities and Drug Interactions

Answer 6

Increased effects with other antihypertensives

Question 7

Furosemide Adult Dosage

Answer 7

On oral furosemide therapy: Consider initial dose of 2 times daily oral dose, if no effect in 20 minutes may double initial dose.

Not on oral furosemide therapy: 0.5-1 mg/kg to a maximum of 2 mg/kg (usually 20-40 mg) IV slowly.

Question 8

Furosemide Pediatric Dosage

Answer 8

1 mg/kg IV slowly

Question 9

Furosemide Routes

Answer 9

Slow IV push

Question 10

Furosemide Onset

Answer 10

5 minutes (vasodilation)

Question 11

Furosemide Peak Effects

Answer 11

20-60 minutes (diuresis)

Question 12

Furosemide Duration

Answer 12

Variable

Question 13

Furosemide AZ Drug Box Minimum

Answer 13

Optional 100 mg