Pola penggunaan furosemid dan perubahan elektrolit pasien gagal jantung di Rumah Sakit X Yogyakarta

Abstract

Background: Heart failure is the final stage of all heart diseases or heart defects affecting the pericardium, heart valves, and myocardium. Furosemide is a drug commonly used in heart failure patients. The diuretic effect of furosemide can cause depletion of fluids and electrolytes in the body. Objective: This study aimed to determine the use of furosemide and evaluate the electrolyte levels in patients with heart failure. Method: This research used the descriptive observational cross-sectional design. Data were collected retrospectively based on the medical records of patients with heart failure in X Hospital Yogyakarta for the period 2011-2014, and patients should be eligible for the inclusion criteria. Results: The results showed that intravenous furosemide 3x1 was used the most with 32 patients (45%). The effects of furosemide on the levels of electrolytes showed 7 patients (17%) experienced mild hyponatremia events and 10 patients (25%) had hypokalemia (4 patients with mild hypokalemia, 6 patients with moderate hypokalemia). Intravenous furosemide of 20 mg/2ml was given to patients with edema, and 40 mg furosemide was orally administered to patients who have recovered from edema. Conclusion: The response to furosemide therapy based on electrolyte levels was found 7 patients (17%) mild hyponatremia; 4(10%) mild hypokalemia and 6(15%) moderate hypokalemia