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4 maj 2024 · Here are key nursing assessments and their rationales when administering furosemide: 1. Obtain a comprehensive medical history , including any known allergies, kidney function, liver disease, heart conditions, electrolyte imbalances, and concurrent medications.
Up to 600 mg/day may be given. Intermittent dosage schedule (2–4 consecutive days/wk) is preferred for maintenance, or 20–40 mg IM or IV (slow IV injection over 1–2 min). May increase dose in increments of 20 mg in 2 hr. High-dose therapy should be given as infusion at rate not exceeding 4 mg/min.
8 maj 2023 · After intravenous administration, furosemide achieves an early and high serum peak concentration and a higher peak excretion rate. A greater extent of furosemide is excreted in urine following the parenteral administration than oral administration.
Administering medications via the IV route requires diligent attention to the rights of medication administration and IV safety. When utilized appropriately, medications administered via IV push can provide rapid symptom resolution and therapeutic effect.
4 maj 2024 · Nursing Considerations for Diuretic Drugs. Here are important nursing considerations when administering this drug: Nursing Assessment. These are the important things the nurse should include in conducting assessment, history taking, and examination:
Nursing Considerations for Patients on Furosemide. Before, during, and after furosemide administration, check the patient’s blood pressure and pulse rate and monitor closely. Notify the doctor if there are any signs of hypotension, an irregular heart rhythm, or a low heart rate.
IM IV (Children): 1–2 mg/kg/dose every 6–12 hr; Continuous infusion: 0.05 mg/kg/hr, titrate to clinical effect. IM IV (Neonates): 1–2 mg/kg/dose every 12–24 hr. SUBQ (Adults): 30 mg over the 1st hr, then 12.5 mg per hr over the next 4 hr with the single-use on-body Infusor. Replace with oral diuretic therapy as soon as possible.
