Furosemide

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  • The use of furosemide has been advocated, but little data exists to support this.
  • Loop acting diuretics may reduce ICP by reducing cerebral edema
  • Mechanism
    • Increasing serum tonicity
    • Slow the production of CSF.
  • Act synergistically with mannitol
  • ℞:
    • 10–20mg IV q 6 hrs, may be alternated with mannitol such that the patient receives one or the other q 3 hrs.
  • Stop
    • Hold if serum osmolarity > 320 mOsm/L.