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A detailed profile of the drug furosemide, including its generic and brand names, mechanism of action, indications and field use, contraindications, adverse reactions, notes on administration, incompatibilities and drug interactions, adult and pediatric dosage, routes of administration, onset and peak effects, duration of action, and dosage forms and packaging. It also includes special notes about ototoxicity and allergic reactions.
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Mechanism of Action:
Pharmacologic: Inhibits electrolyte reabsorption in the ascending Loop of Henle. Promotes excretion of sodium, potassium, chloride. Vasodilation increases venous capacitance and decreases afterload. Clinical: Diuresis
Indications and Field Use:
Pulmonary edema; congestive heart failure
Contraindications:
Anuria (relative) Hypovolemia Hypotension
Adverse Reactions:
May exacerbate hypovolemia Hyperglycemia (due to hemoconcentration) Hypokalemia May decrease the response to pressors
NOTES ON ADMINISTRATION
Incompatibilities/Drug Interactions:
Increased effects with other antihypertensives
Adult Dosage:
On oral furosemide therapy: Consider initial dose of 2 times daily oral dose, if no effect in 20 minutes may double initial dose. Not on oral furosemide therapy: 0.5-1 mg/kg to a maximum of 2 mg/kg (usually 20-40 mg) IV slowly.
Pediatric Dosage:
1 mg/kg IV slowly
Routes of Administration:
Slow IV push
Onset of Action:
5 minutes (vasodilation)
Peak Effects:
20-60 minutes (diuresis)
Duration of Action:
Variable
Dosage Forms/Packaging:
20 mg/2 mL ampule, vial, syringe 40 mg/4 mL ampule, vial, syringe 100 mg/10 mL ampule, vial, syringe
Arizona Drug Box Supply Range:
PARAMEDIC: 4 (20 mg/2 mL) or 4 (40mg/4mL) or 2 (100mg/10mL)
INTERMEDIATE: 4 (20 mg/2 mL) or 4 (40mg/4mL) or 2 (100mg/10mL)
Special Notes:
Ototoxicity and resulting deafness can occur. Since furosemide is a sulfonamide derivative, it may induce allergic reactions in patients with sensitivity to sulfonamides (sulfa drugs).