FUROSEMIDE (LASIX)

Question 1

CLASS

Answer 1

LOOP DIURETIC

Question 2

ACTIONS

Answer 2

INHIBITS SODIUM AND CHLORIDE REABSORPTION IN THE PROXIMAL TUBE TUBULE AND LOOP OF HENLE WHICH DRAWS WATER WITH IT AND CAUSES DIURESIS. THIS EFFECT OCCURS ABOUT 10 MINUTES AFTER IV DOSE.

DIRECT VENODILATING EFFECTS WHICH DECREASES VENOUS RETURN TO THE HEART (DECREASES PRELOAD). THIS EFFECT IS SEEN BEFORE THE DIURESIS EFFECT.

Question 3

INDICATION

Answer 3

ACUTE CARDIOGENIC PULMONARY EDEMA

HYPERTENSIVE CRISIS

CHRONIC CHF

Question 4

DOSAGE/ ROUTE

Answer 4

SEE HAWAII SO

Question 5

STANDARD PREP

Answer 5

40 MG/4 ML, 100 MG/10 CC

Question 6

PEDS DOSE

Answer 6

1MG/ KG IV

Question 7

CONTRAINDICATIONS

Answer 7

ALLERGY TO SULFONAMIDES

DEHYDRATED PATIENT

ANURIC PATIENT

ELECTROLYTE DEPLETION

Question 8

SIDE EFFECTS

Answer 8

HYPOVOLEMIA

ORTHOSTATIC HYPOTENSION

TRANSIENT DEAFNESS, TINNITUS

MUSCLE CRAMPS AND WEAKNESS

ELECTROLYTE PROBLEMS, SODIUM, POTASSIUM, CALCIUM AND MAGENESIUM DEPLETION

SIGNS OF HYPOKALEMIA, POSTURAL HYPOTENSION, MALAISE, FATIGUE, LEG CRAMPS, WEAKNESS

Question 9

PRECAUTIONS

Answer 9

AUSCULTATE LUNGS BEFORE AND AFTER ADMINISTRATION

MAY POTENTIATE EFFECTS OF DIGITALIS