Furosemide (Lasix)

Sodium Bicarbonate

Cimetadine (Tagamet)

Functional Class:

Diuretic

Action:

¯ extracellular fluid volume; ¯ peripheral & pulmonary edema

Uses/indications:

Congestive heart failure (CHF)

Considerations:

Excess can cause dehydration & electrolyte imbalances; poss. side effects - postural hypotension, dizziness, allergic reactions, nausea/vomiting

Dose:

Severe CHF: 40mg i.v. over 1-2 minutes;

Functional Class:

Alkalizing agent

Action:

Neutralizes acidosis

Uses/indications:

Correction of acidosis from diminished respiration, as in ventricular fibrillation, asystole, severe hypotension or shock

Considerations:

Excessive amounts can result in ­ blood volume leading to CHF; metabolic alkalosis

Dose:

1mEq/kg i.v. push initially, f.b. up to 50mEq q10min; evaluate according to arterial blood gas & pH measurements

Functional Class:

H₂-receptor antagonist (Imidazole derivative)

Action:

Inhibits histamine at H₂-receptor sites

Uses/indications:

Adjunct medication to minimize intensity of rigors associated with rapid infusion urokinase therapy;

Considerations:

Contraindications: Hypersensitivity

Dose:

For A) 300mg i.v.;

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