MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK...
-
Upload
maria-mcdougall -
Category
Documents
-
view
216 -
download
0
Transcript of MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK...
![Page 1: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/1.jpg)
MAYA FE NG-DARJUAN, MD-RNMAYA FE NG-DARJUAN, MD-RN
![Page 2: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/2.jpg)
OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS
AND PULMONARY EDEMA
![Page 3: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/3.jpg)
w/o OXYGEN - Brain death within 6 min
Pulse oximeter – measures oxygen saturation WHAT’S THE IDEAL O2 SAT? 95%95%
![Page 4: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/4.jpg)
![Page 5: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/5.jpg)
for severe physiologic stressShockTraumatic injuryAcute myocardial infarctionCardiac arrest
![Page 6: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/6.jpg)
![Page 7: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/7.jpg)
CAUTION IN COPD PATIENTS
May lose their hypoxic respiratory drive
![Page 8: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/8.jpg)
Emergency but no severe stress (angina, arrhythmia)Nasal cannula – 1-6L/minFace tent (high O2 flow) - children
![Page 9: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/9.jpg)
![Page 10: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/10.jpg)
NITROGLYCERIN - vasodilatorANGINA PECTORISMYOCARDIAL INFARCTION
SUBLINGUAL – 0.3-0.4 mg to be repeated after 5 min (max: 3 doses)
Translingual aerosol spray – 0.4mg
![Page 11: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/11.jpg)
NITROGLYCERIN – vasodilatorShould not be use along with Sildenafil (VIAGRA)
![Page 12: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/12.jpg)
MORPHINE SULFATEMORPHINE SULFATENarcotic analgesic given for chest pain assoc with
MI
Dose: 1-4mg IV over 1-5min to be repeated q 5-30’ until chest pain is relieved
![Page 13: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/13.jpg)
MORPHINE SULFATEMORPHINE SULFATE Adverse effects: respiratory
depression and hypotension
NALOXONE (NARCAN)Reverses the action of morphine
![Page 14: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/14.jpg)
ATROPINE SULFATEATROPINE SULFATE Inhibits action of VAGUS nerve for treatment of bradycardia,
asystole and AV block dose: 0.5-1mg q 3-5 min
![Page 15: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/15.jpg)
ISOPROTERENOLISOPROTERENOL beta adrenergic drug – increase
heart rate – for HYPOTENSION monitor heart rate
![Page 16: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/16.jpg)
EPINEPHRINEEPINEPHRINE Improves perfusion of the
heart and brain, bronchodilation
![Page 17: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/17.jpg)
EPINEPHRINEEPINEPHRINE “E” drug for hypotension,
pulseless Vtach, V fibrillation, status asthmaticus
monitor cardiac and hemodynamics
![Page 18: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/18.jpg)
SODIUM BICARBONATEFor metabolic/respiratory acidotic
statedose: 1meq/kg IV, maybe
repeated at 0.5meq/Kg every 10 min prn
![Page 19: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/19.jpg)
ADENOSINE VERAPAMIL DILTIAZEM LIDOCAINE AMNIODARONE PROCAINAMIDE
![Page 20: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/20.jpg)
MANNITOLMANNITOLOsmotic diuretic – for cerebral
edema may inc ICP initial dose – 0.5-1g/kg IV of 25%
solutionNote: highly irritating to the veins
forms crystals
![Page 21: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/21.jpg)
METHYLPREDNISOLONEIndication: spinal cord
injury/cerebral edema
Contraindications: HIV infection pregnancy Uncntrolled diabetes
![Page 22: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/22.jpg)
![Page 23: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/23.jpg)
May be corrosive (alkaline and acid agents that cause tissue destruction)
Alkaline productsAlkaline products: Lye, drain and toilet bowl cleaners, bleach, non-phosphate detergents, button batteries
Acid products:Acid products: toilet bowl and metal cleaners, battery acid
![Page 24: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/24.jpg)
![Page 25: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/25.jpg)
Control the airway, ventilation and oxygenation. ECG, VS, and neurologic status
monitored for changes. Note for
amount time since ingestion signs and symptoms age and weight health history are determined.
![Page 26: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/26.jpg)
Insert Foley catheter - to monitor renal function blood examinations - test for poison concentration Treat SHOCK
![Page 27: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/27.jpg)
Ingestion of corrosive poison give water or milk - for dilution
not attempted if patient has acute airway obstruction, or if with evidence of gastric or esophageal burn or perforation.
Ipecac syrup - induce vomiting in the alert patient Gastric lavage for the obtunded patient
aspirate is tested Activated charcoal administration if poison can be
absorbed by it CatharticCathartic - when appropriate
![Page 28: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/28.jpg)
Vomiting is NEVER induced after ingestion of caustic substances or petroleum distillates.
Contact poison control center - PGH if an unknown toxic agent has been taken if it is necessary to identify an antidote for
a known toxic agent.
![Page 29: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/29.jpg)
National Poison Control & Information ServicePhilippine General Hospital, ManilaTel. No. (02) 524-1078 (Hotline) (02) 521-8450 Local 2311
![Page 30: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/30.jpg)
1. NALOXONE – anti-dote for opiates overdose
2. FLUMAZENIL – reverses respiratory depression secondary to benzodiazepines
3. ATROPINE - reverses organophosphate poisoning
![Page 31: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/31.jpg)
DOPAMINE DOBUTAMINE NOREPINEPRHINE EPINEPHRINE ALBUTEROL
![Page 32: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/32.jpg)
Epinephrine: α-adrenergic effects can increase
coronary and cerebral perfusion pressure by vasoconstriction
β-adrenergic can increase myocardial contractility
Given 1 mg per IV/IO every 3-5 minutes
![Page 33: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/33.jpg)
Sympathomimetic For hypotension (shock) It can increase heart rate when
atropine has not been effective Dose: 1-20mcg/kg/min (in 250ml D5W)
Wean patient gradually – can result to severe hypotension if abruptly stopped
![Page 34: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/34.jpg)
Assess IV site q1 hrExtravasation can lead to tissue necrosis
![Page 35: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/35.jpg)
sympathomimetic with beta 1 effects (inc. heart rate)
no vasoconstriction, only increase cardiac output
dose: 250-1000mg in 250ml D5W or NSS
![Page 36: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/36.jpg)
AN EXTREMELY POTENT VASOCONSTRICTOR
GIVEN WHEN DOPAMINE AND DOBUTAMINE HAVE FAILED
DOSE: 4-8mg to 250ml D5W or NSS and infused at 0.5-30mcg/min
![Page 37: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/37.jpg)
Assess IV site q1 hrExtravasation can lead to tissue necrosis
![Page 38: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/38.jpg)
ALBUTEROL Reverses bronchoconstriction administered via nebulizer side effects: tremors,
tachycardia, dysrhythmia, hypertension
![Page 39: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/39.jpg)
DIPHENHYDRAMINEAnti-histamineReduce histamine induced
tissue swelling and pruritus25-50mg IV or deep IM
![Page 40: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/40.jpg)
Diastolic pressure that exceeds 110-120mmHg and pulmonary edema
![Page 41: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/41.jpg)
LABETALOLBeta blockerLowers heart rate, BP, myocardial
contractility, and myocardial O2 consumption
Dose: 10mg IV push for 1-2 min(max dose: 150mg)
Contraindicated in patients with Asthma
![Page 42: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/42.jpg)
SODIUM NITROPRUSSIDEReduces arterial BPEffect: immediate vasodilation
and BP goes down but immediately goes up once the drug is stopped
![Page 43: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/43.jpg)
SODIUM NITROPRUSSIDE inactivated by light – wrap in
aluminum foilBlue or brown discoloration –
means drug is degraded prolonged use – can lead to
cyanide poisoning
![Page 44: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/44.jpg)
FUROSEMIDE loop diuretic For acute pulmonary edema due
to left ventricular dysfunction or hypertensive crisis
diuresis may start within 20 mins
![Page 45: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/45.jpg)
FUROSEMIDEAdverse effects:
hypotension, dehydration and electrolyte imbalances
can result to allergic reaction
![Page 46: MAYA FE NG-DARJUAN, MD-RN. OXYGEN DRUGS FOR CARDIAC DISORDERS DRUGS FOR POISONING DRUGS FOR SHOCK DRUGS FOR HYPERTENSIVE CRISIS AND PULMONARY EDEMA.](https://reader033.fdocuments.in/reader033/viewer/2022061305/55143193550346d8488b5fe0/html5/thumbnails/46.jpg)