Tuesday, July 1, 2008

OBJ - FUROSEMIDE ASSESSMENT - from Nursing Central

Jen had a good idea to assess for effects of furosemide. We should check to see if we captured this stuff above - if not, we might want to know about it! This is from Nursing Central.

• Assess fluid status. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. Notify physician or other health care professional if thirst, dry mouth, lethargy, weakness, hypotension, or oliguria occurs

• Monitor blood pressure and pulse before and during administration. Monitor frequency of prescription refills to determine compliance in patients treated for hypertension

• Geri: Diuretic use is associated with increased risk for falls in older adults. Assess falls risk and implement fall prevention strategies

• Assess patient for tinnitus and hearing loss. Audiometry is recommended for patients receiving prolonged high-dose IV therapy. Hearing loss is most common after rapid or high-dose IV administration in patients with decreased renal function or those taking other ototoxic drugs

• Assess for allergy to sulfonamides

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