MASSACHUSETTS GENERAL HOSPITAL

Department of Pharmacy

Department of Nursing

Critical Care

Generic Name: Bumetanide
Trade Name: Bumex
Action: Diuretic
Indications: Non-formulary drug, only used when less expensive loop diuretics are contraindicated
Congestive heart failure
Acute/Chronic Renal Failure
Edema
Administration Guidelines:
Usual Dosage Range and Route: SINGLE DOSE: 2.5 to 10 mg IVP OVER 3 to 5 MINUTES

24 HOUR CUMULATIVE: 30 mg

Special Considerations: - Enhances activity of antihypertensives, neuromuscular blocking agents, and digoxin

- Ototoxicity / renal toxicity may be enhanced with co- administration of aminoglycosides

Precautions and Side Effects: - Hypovolemia

- Hypokalemia

- Hyponatremia

- Hypomagnesemia

- Transient Deafness

 

 

 

Rev 9/00