February 1, 2023

WCU NSG 367 Sec 01: Jillian Shoudt, Riley Matthews, Alex Taylor, Gabby Mahoney

Do you have edema related to heart failure hepatic impairment or renal disease do you have high blood pressure do you have difficulty peeing even when you listen to the sounds of waterfalls then you need lasix lasix increases renal excretion of water sodium chloride magnesium potassium and calcium it also promotes diuresis and subsequent mobilization of excess

Fluid with lasix you will have decrease in edema decrease in abdominal girth and weight decrease in blood pressure and an increase in urinary output do not take leasics if you are allergic to it have an alcohol intolerance liver impairment diabetes menolitus and urea electrolyte depression or if you are pregnant planning to be or breastfeeding do not take lasiks

While experiencing low protein levels in the blood or severe renal impairment as this increases the risk of ototoxicity children have an increased risk for kidney stones there is also an increased risk of side effects such as hypotension and electrolyte imbalances at usual doses when taken by older adults lasix increases the risk of hypotension when combined with

Antihypertensives nitrates and alcohol it also increases the risk of hypokalemia when taken with other diuretics amphiphores and b stimulant laxatives and corticosteroids hypokalemia increases the risk of arrhythmias in people taking drugs prolonging their qt interval there is also an increased risk for gaudy arthritis when cyclosporine and lasix are taken at

The same time enzymes sucrophase close termine and cholesterol can all decrease the effects of lasix lasix increases the risk of nephrotoxicity when taken with cisplatin there is also an increased risk for methotrexate toxicity talk to your doctor and ask if lasix is right for you furosemide can cause blurred vision dizziness and headaches for this reason avoid

Driving until you know how furosemide impacts your health froze mine is known to cause hypotension so avoid changing positions too quickly if signs of stephen johnson’s syndrome occur stop taking immediately and report to your provider ferocious mind is shown to have adverse effects in fluid and electrolyte imbalance watch for signs and symptoms of hypokalemia

Hyponatremia and hypovolemia this is not a complete list of side effects and others may occur call your doctor for medical advice about side effects you may report side effects to fda at 1 800 fda 1088 as a nurse assess fluid status by monitoring daily weights inputs and outputs lung sounds presence of edema skin turgor and mucous membranes notify healthcare

Provider if dry mouth lethargy thirst hypotension weakness or oliguria occur monitor blood pressure and pulse before and during administration of lasix diuretic use is associated with an increased risk for falls in older adults assess fall risks and implement prevention strategies such as ensuring cowbell use and watching for orthostatic hypotension as a nurse you

Should also assess the patient’s skin for rashes frequently and discontinue if a rash is present nurses should also monitor electrolytes renal and hepatic function serum glucose and uric acid levels before and periodically during therapy if administering twice daily give second dose no later than 5 pm to minimize sleep cycle disruptions and nocturia lasix can be

Taken with food or milk to minimize gastric upset and it can be crushed if patient has difficulty swallowing do not confuse lasix with luvox and ssri take lasiks as directed and do not skip or double doses take lasiks in the morning to avoid disruption and sleep patterns change positions slowly to minimize orthostatic hypotension a sudden drop in blood pressure

Consult a healthcare provider about a diet high in potassium since lasix can cause a decrease in serum potassium levels and notify your healthcare provider of all prescription and over-the-counter medications vitamins and herbal products being used at the same time as lasiks to make sure that there are no adverse interactions avoid the use of nsaids with lasix and

Other leap diuretics weigh yourself regularly and tell your healthcare provider if you gain more than three pounds in one day use sunscreen and protective clothing as lasiks can cause photosensitivity contact your healthcare provider immediately if you develop a rash muscle weakness cramps tinnitus nausea dizziness numbness or tingling of the extremities nausea

Vomiting and diarrhea can cause further fluid and electrolyte imbalances diabetic patients should monitor their blood glucose closely as lasiks can cause increased blood glucose levels let your healthcare provider know if you experience gout since lasik can cause an increase in uric acid levels females should notify healthcare providers if pregnancy is planned

Or suspected or if breastfeeding it is important to maintain routine follow-up examinations and use additional therapies for hypertension such as weight loss exercise reduced sodium intake stress reduction moderation of alcohol consumption and smoking cessation lasix controls but does not cure hypertension

Transcribed from video
Diuretics Commercial: furosemide (Lasix) By Jillian Shoudt