NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name torsemide Trade Name Demadex Classificati on Antihyperten sives, loop diuretics Dose 20mg Route PO Time/frequency qd Peak 60-120 min. Onset Within 60 min. Duration 6-8 hrs Normal dosage range CHF--10-20 mg once daily Why is your patient getting this medication Pulmonary edema due to CHF; HTN For IV meds, compatibility with IV drips and/or solutions N/A Mechanism of action and indications (Why med ordered) Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tubule. Increases renal excretion of water, sodium, chloride, magnesium, hydrogen, and calcium. May have renal and peripheral vasodilatory effects. Effectiveness persists in impaired renal function. Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity. Pre-existing electrolyte imbalance, hepatic coma, or anuria. Electrolyte depletion. Geriatric patients (difficulty assessing hearing status; increased risk of hypotension). Diabetes mellitus. Common side effects dehydration , hypochloremia , hypokalemia , hypomagnesemia , hyponatremia , hypovolemia , metabolic alkalosis Interactions with other patient drugs, OTC or herbal medicines (ask patient speciﬁcally) Lab value alterations caused by medicine Be sure to teach the patient the following about this medication Nursing Process- Assessment (Pre-administration assessment) Assessment Why would you hold or not give this med? Evaluation Check after giving

Demadex (torsemide)

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NURS 1566 Clinical Form 3: Clinical Medications Worksheets(You will need to make additional copies of these forms)

Generic Nametorsemide

Trade NameDemadex

ClassificationAntihypertensives, loop diuretics

Dose20mg

RoutePO

Time/frequencyqd

Peak60-120 min.

OnsetWithin 60 min.

Duration6-8 hrs

Normal dosage rangeCHF--10-20 mg once daily

Why is your patient getting this medicationPulmonary edema due to CHF; HTN

For IV meds, compatibility with IV drips and/or solutionsN/A

Mechanism of action and indications(Why med ordered)Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tubule. Increases renal excretion of water, sodium, chloride, magnesium, hydrogen, and calcium. May have renal and peripheral vasodilatory effects. Effectiveness persists in impaired renal function.

Nursing Implications (what to focus on) Contraindications/warnings/interactionsHypersensitivity. Pre-existing electrolyte imbalance, hepatic coma, or anuria. Electrolyte depletion. Geriatric patients (difficulty assessing hearing status; increased risk of hypotension). Diabetes mellitus. Common side effectsdehydration, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

Lab value alterations caused by medicine

Be sure to teach the patient the following about this medication

Nursing Process- Assessment(Pre-administration assessment)

AssessmentWhy would you hold or not give this med?

EvaluationCheck after giving