Re: Lasix gtts

0.5mL/kg/hr-1mL/kg/hr.

It was in every one of my nursing textbooks and beaten into my head by my instructors...

Re: Lasix gtts

mmm.therefore fat people or people with fluid overload should pee more than skinny people. Actually, shouldn't you be looking at creatnine/BUN fluid intake. Also, not to split hairs, I stated to monitor u/o, I didn't state per kg or hourly rate. just a clarification for those in the know.

Re: Lasix gtts

Sorry I should have stated I was addressing Uncleb
And ideally you really should look at your BUN:Cr ratio which would give you a way better idea if it is pre-renal vs intra-renal vs post-renal.
The ABSOLUTE IDEAL is what factors could be affecting your GFR such as NA and H20. The renal regulation of both of these is the most important mechanism for volume regulation in the body, period.
And when someone is talking about weight hopefully that practitioner is talking about dry weight, especially when thinking about titration of various drugs...And no PaWashrn, you hadn't mentioned dry weight, I just did And I agree with you, Cr Cl is a far better measurement
athena

Re: Lasix gtts

Originally Posted by athena55

Hello
Well not to "split hairs", ....Well I guess I am...Urine output is now calculated based on weight. So that old 30 ml/hour or 40 ml/hour or even 15ml/hour is no longer used....Ideal hourly urine output should be no less than 0.5ml/kg/hour
Just my
athena

I actually hadn't heard of that. In my floor, we still use the "old" at least 30ml/hr. That was what I learned in nursing school and what was beating into my head. The doctors I work with think the same way. Is this only in critical care areas? I work in telemetry and it hasn't been the case.

As for the lasix gtt, we usually don't do many in my floor. I've done a couple, and every time, it has been for hyperkalemia. No protocols, just vs per floor protocol (q4hrs), and k+ monitoring the next day.