Immersion: Oral Medications

Furosemide: What Class and what is the Onset, Peak, and Duration?

Loop Diuretic

Onset: 20-60 min

Peak: 1-2 hours

Duration: 6-8 hours

Furosemide: Labs and things to look at? (Nursing Considerations)

Monitor K levels

Monitor Pain assessment

Monitor Kidney function 

Monitor BP + HR

Monitor weight

Give in AM

Furosemide: Side Effects and Adverse Effects

Dry mouth

Headaches

Feeling confused

Dizziness

Nausea/ vomiting

Hypokalemia

Dehydration

Ototoxicity

Overdose signs:  dehydration & hypotension

Furosemide: Safe dose range

PO: 20–80 mg/day

IV: 20–40 mg/dose

Furosemide: Contraindications

Sulfa allergy

Volume depletion

Furosemide: Patient Education

Ginger, cayenne, licorice may worsen hypertension

Avoid excessive sun exposure b/c risk of photosensitivity reactions

Eat K-rich foods

Track weight

Rise slowly

Furosemide: WHY DOES HE NEED THIS?

• Treat fluid overload from pneumonia

  • bilateral crackles, SOB

• Reduce pulmonary congestion/improve oxygenation

• Manage postoperative fluid retention (s/p hip replacement)

• Help control hypertension (HTN)

What is Furosemide? (Lasix)

Furosemide, also known as Lasix, is a loop diuretic used to treat fluid retention in conditions such as heart failure, liver disease, and kidney disease. It works by inhibiting sodium and chloride reabsorption in the kidneys, leading to increased urine output.

Lisinopril: What Class and what is the Onset, Peak, and Duration?

ACE inhibitor

Onset 1 hour

Peak 6-8 hours

Duration up to 24 hours

Lisinopril: Labs and things to look at? (Nursing Considerations)

Assess BP and electrolytes

HOLD  if SBP <100

Monitor K+

Monitor Renal function

Lisinopril: Side Effects and Adverse Effects

Dry cough

Hyperkalemia

Angioedema

Dizziness

Lisinopril: Safe Dose Range

10- 40 mg PO daily

Lisinopril: Contraindications

Pregnancy

History of Angioedema

Lisinopril: Patient Education

Avoid K+ supplements

Report swelling or lips and tongue

Report persistent dry cough

Lisinopril: WHY DOES EUGENE NEED THIS?

• Manage hypertension (HTN)

• Protect kidney function, especially with diabetes (DM)

• Reduce after load, easing cardiac workload

• May help prevent heart failure if at risk

What is Lisinopril?

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood pressure and heart failure. It helps improve blood flow and reduce the risk of kidney damage in diabetic patients.

Metoprolol: What Class and what is the Onset, Peak, and Duration?

Beta Blocker

Metoprolol: Labs and things to look at? (Nursing Considerations)

Hold if HR <60

Monitor BP and HR

Monitor Glucose

Ask about any resp. Conditions

Assess Resp. Depth

Metoprolol: Side Effects and Adverse Effects

Fatigue

Headache 

Dizziness

Cold extremities

GI disturbances

Bradycardia

Hypotension

Metoprolol: Safe Dose Range

25–100 mg PO daily

IV: 5 mg q2min ×3

Metoprolol: Contraindications

Bradycardia

Heart block

Asthma

Metopolol: Patient Education

Don’t stop abruptly

Monitor pulse

Rise slowly

Take medication with meals 

Avoid driving and tasks requiring alertness

May mask hypoglycemic symptoms

Metopolol: Why does Eugene Need this?

• Treat hypertension (HTN)

• Slows heart rate, reduces workload on the heart

• Helps prevent heart complications (e.g., arrhythmias, heart failure)

• Can help control stress response after surgery

What is Metopolol?

Metoprolol is a beta-blocker used to treat high blood pressure, heart conditions, and to prevent complications following heart attacks. It works by slowing the heart rate and reducing the heart's workload.