Pharm

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  • Furosemide Medication Education 
  • How is a water pill going to lower my blood pressure?
  • Great question Ms. Johnson. By increasing your urine excretion, furosemide will decrease the volume of fluid in your body and this will decrease your blood pressure. 
  • Complications and Adverse Effects
  • Notify  your PCP if side effects occur or worsen.  Seek emergent care if complications occur such as severe dehydration, shock,  or electrolyte imbalance which can lead to life-threatening cardiac complications. Take as prescribed to  prevent  this. 
  • Those  side effects sound serious! I'm not sure if I should take  it.
  • Conclusion
  • Got it,  I will take excess sodium from my diet, and I will rise up slowly when getting out of bed. 
  • Great Ms Johnson! Remember this will prevent falls. I will also provide a few more anti-hypertensive drugs to complement this medication and further reduce your blood pressure.
  • Pharmalogical action: Furosemide blocks the reabsorption ofsodium and water in kidney tubules thereby increasing urinary excretion.    It is used to treat conditions such as heart failure, liver disease, and kidney disease.  It is also used in combination with antihypertensive meds to decrease blood pressure.
  • Side effects include  pancreatitis, jaundice, anorexia, cramping, diarrhea, constipation, n/v,  vertigo, headaches, blurred vision, tinnitus, hearing loss,   anemia, thrombocytopenia,   rash, itching, hives, photosensitivity, exfoliative dermatitis, Steven-Johnson Syndrome,  dizziness, and lightheadedness.
  • Nurse Jane concluded her teaching with drug interactions: Aminoglycosides,sucralfate, NSAIDs, lithium, and aspirin.  She explained that alternative meds  include other loop diuretics such as  torsemide, and bumetanide. Reference:   Lilley, L. L., Collins, S. R., & Snyder, J. S. (2017). Pharmacology and the nursing process. St. Louis, MO: Elsevier.
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