What are nursing considerations for Lasix?

What are nursing considerations for Lasix?

Assess fluid status. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. Notify health care professional if thirst, dry mouth, lethargy, weakness, hypotension, or oliguria occurs. Monitor BP and pulse before and during administration.

What should be monitored when taking Lasix?

Changes in blood pressure must be carefully monitored when LASIX is used with other antihypertensive drugs, especially during initial therapy. To prevent excessive drop in blood pressure, the dosage of other agents should be reduced by at least 50 percent when LASIX is added to the regimen.

What does the nurse need to assess for when a patient is prescribed diuretics?

Assess patient for anorexia, muscle weakness, numbness, tingling, paresthesia, confusion, and excessive thirst. Notify health care professional promptly if these signs of electrolyte imbalance occur.

How do you prepare Lasix infusion?

Double-strength infusion: Draw up 1 mL/kg (10 mg/kg of furosemide) and make up to 10 mL with sodium chloride 0.9% or glucose 5% or glucose 10% or glucose 20% to make a 1 mg/kg/mL solution. Infusing at a rate of 0.1 mL/hour = 0.1 mg/kg/hour. Oral: Use as supplied undiluted. mg/minute.

What to monitor if patient is on diuretics?

Monitoring diuretics

• Re-check blood pressure, renal function and electrolytes within 4-6 weeks of commencing therapy.
• If blood pressure is not adequately controlled by a low dose of thiazide, an additional antihypertensive agent should be considered rather than increasing the dose.

What should you be on an alert for in a patient who is on furosemide and digoxin and why?

Furosemide and digoxin are often used together but may require more frequent evaluation of your digoxin, potassium, and magnesium levels. You should notify your doctor if you have symptoms, such as weakness, tiredness, muscle pains or cramps, nausea, decrease appetite, visual problems, or irregular heartbeats.

How do you administer Lasix?

Inject each 20 mg of furosemide slowly IV over 1—2 minutes. Intravenous infusion: Dilute furosemide in NS, lactated Ringer’s, or D5W injection solution; adjust pH to greater than 5.5 when necessary. Intermittent IV infusion: Infuse at a rate not to exceed 4 mg/minute in adults or 0.5 mg/kg/minute in children.

What can you not take with Lasix?

Drug interactions of furosemide include aminoglycoside antibiotics, ethacrynic acid, aspirin, lithium, sucralfate, other antihypertensive drugs, nonsteroidal anti-inflammatory drugs (NSAIDs), cisplatin, cyclosporine, methotrexate, phenytoin, antibiotics, heart medications, laxatives, and steroids.

What are the nursing considerations of furosemide ( Lasix )?

What are the Nursing Considerations of Furosemide (Lasix) Nursing Pharmacology Considerations? use caution with liver disease may cause hypotension, dry mouth, excessive urination, dehydration, electrolyte abnormalities,

When to use Lasix in combination with thiazides?

Oral LASIX may be used in adults for the treatment of hypertension alone or in combination with other antihypertensive agents. Hypertensive patients who cannot be adequately controlled with thiazides will probably also not be adequately controlled with LASIX alone. CONTRAINDICATIONS

How often should I take furosemide im IV?

IM IV (Adults): 20–40 mg, may repeat in 1–2 hr and ↑ by 20 mg every 1–2 hr until response is obtained, maintenance dose may be given every 6–12 hr; Continuous infusion– Bolus 0.1 mg/kg followed by 0.1 mg/kg/hr, double every 2 hr to a maximum of 0.4 mg/kg/hr.

What is the bioavailability of Lasix oral solution?

In fasted normal men, the mean bioavailability of furosemide from LASIX Tablets and LASIX Oral Solution is 64% and 60%, respectively, of that from an intravenous injection of the drug.