Classification
Loop diuretic
Action
Enhances excretion of sodium, chloride & potassium by direct action @ ascending limb of henle produces diuresis decrease BP
Rx for edema associated with CHF
Dose
Initially 20-80 mg/dose may increase by 20-40 mg/dose q6-8 hrs
Side effects
Increase frequency & volume of urination
Lightheaded, dizzy, Nausea, heartburn, abd cramps, diahrrea, constipation, electrolyte disturbance
Contraindications
Anuria
Deafness
Ringing in ears
Vertigo
Absorption
GI tract
Metabolized liver
Excreted in urine
Nursing
Check BP, pulse for hypotension Serum electrolytes Skin turgor Mucus membrane I& O Mental status