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NCM106 - Pharmacology: History: Allergy To Torsemide, Sulfonylurea History of

The document provides information on assessing, planning care for, implementing interventions for, and evaluating a patient receiving the loop diuretic torsemide, including classifying the drug, common indications, assessments of fluid status and electrolytes, monitoring for side effects like dizziness and hypotension, educating the patient on monitoring weight and hydration, and evaluating whether treatment goals were met.

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46 views

NCM106 - Pharmacology: History: Allergy To Torsemide, Sulfonylurea History of

The document provides information on assessing, planning care for, implementing interventions for, and evaluating a patient receiving the loop diuretic torsemide, including classifying the drug, common indications, assessments of fluid status and electrolytes, monitoring for side effects like dizziness and hypotension, educating the patient on monitoring weight and hydration, and evaluating whether treatment goals were met.

Uploaded by

Brandy Recto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NCM106 - Pharmacology

Module 2.1 Nursing Process Focus: Care Patients Receiving Loop Diuretic: Torsemide
NAME: BLOCK:
DATE OF SUBMISSION:
CYCLE AND SCHEDULE:

Classification of the Drug: Loop Diuretic


Common Indications of the Drug: treatment of hypertension and edema associated with HF, hepatic cirrhosis
Common Brand Names: Lozol

Assessment Possible Nursing Diagnoses


History: allergy to torsemide, sulfonylurea; history of Risk for deficient fluid volume r/t excessive diuresis
electrolyte depletion, anuria, severe renal failure, gout, hepatic Risk for injury r/t electrolyte imbalance
coma, DM, lactation
Deficient knowledge r/t drug therapy
Physical: assess for skin color, lesions, Orientation, reflexes,
assess for edema, baseline ECG; liver evaluation, bowel sounds; Possible Complications:
urinary output patterns; laboratory tests: CBC,
serum electrolytes, blood sugar, LFTs, renal function tests, uric  CNS: dizziness, vertigo, fatigue
acid, urinalysis  CV: orthostatic hypotension, volume
depletion, cardiac arrhythmias
 GI: nausea, vomiting, anorexia, dry mouth
 GU: polyuria, nocturia, glycosuria, renal
failure
 Local: pain, phlebitis at injection site

Planning: Patient Outcomes

The patient will maintain a normal fluid volume as evidenced by having a blood pressure and heart rate within
a normal range
The patient won’t exhibit adverse effects of electrolyte imbalance
The patient will demonstrate an understanding of the drug action by accurately describing drug side effects and
drug action
The patient will immediately report any allergic reactions or adverse reactions while taking this drug

Implementation
Interventions with Rationales Patient Education/Discharge Planning
 Administer with food or milk if GI upset  Instruct pt to take drug early in the day so
occurs sleep will not be disturbed by increased
 Administer early in the day so increased urination
urination will not disturb sleep  Instruct pt to take this drug with food or meals
 Measure and record weight to monitor fluid to prevent GI upset
changes  Instruct pt to weigh themselves daily and
 Monitor the patient for edema and ascites. record weighs and in the same clothing
 Monitor I&O  Instruct pt to use sun block to protect skin
from exposure to the sun or bright lights
 Instruct pt how to avoid postural hypotension
by getting up slowly

Evaluation of Outcome Criteria (Met, Partially met, Not met)

Goal was met


The patient maintains adequate hydration
The patient’s electrolyte levels remain within normal limits
The patient was able to demonstrate an understanding of the drug action by accurately describing drug side
effects and drug action
The patient reported no signs of any allergic reactions or adverse reactions while taking this drug

Reference:

NPF Drug Study No. 1

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