NURS 2004 Chapter Notes - Chapter 41: Foley Catheter, Furosemide, Respiratory Sounds
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Baseline data: for all patients, obtain baselines values for weight, bp (sitting and supine), pulse, respiration, and electrolytes (sodium, potassium, chloride). Identifying high risk patients: use with caution in patients with cardiovascular disease, renal impairment, diabetes mellitus, or a history of gout, and in patients who are pregnant or taking digoxin, lithium, ototoxic drugs, nsaids, or antihypertensive drugs. Routes: flurosemide and bumetanide oral, iv, im. Oral dosing may be done once daily, twice daily, or on alternate days. Instruct patients who are using once-a-day or alternate-day dosing to take their medication in the morning. Instruct patients using twice- a-day dosing to take their medication at 8:00 am and 2:00 pm (to minimize nocturia). Advise patients to administer flurosemide with food if gi upset occurs. Parenteral administer iv injection slowly (over 1-2 minutes). Promoting adherence: increased frequency of urination is inconvenient and can discourage adherence.