IV Push Lasix

  1. 0 I was told to put in a butterfly then push IV Lasix 100mg in 10ml over 5min. Will have another nurse with me but I am concerned about side effects.
  2. Visit  emilysmom,RN profile page

    About emilysmom,RN

    emilysmom,RN has '2' year(s) of experience. From 'chester county, PA'; Joined Jun '08; Posts: 226; Likes: 50.

    12 Comments so far...

  3. Visit  DookieMeisterRN profile page
    2
    Have you tried looking up the medication in a drug book? This med is used very frequently IV. Maybe you should direct your questions to the prescibing physician, an internet forum is not always the best place to get answers for your patients. Smells like a homework question.
    Last edit by DookieMeisterRN on Feb 14, '12
    nurse2033 and roser13 like this.
  4. Visit  6spdftwtm profile page
    2
    Search for "Lasix IV" and "ototoxicity".
    SHGR and fortheloveofpink like this.
  5. Visit  emilysmom,RN profile page
    0
    I did look it up but I am concerned about monitoring her. She does live in a ALF but they will not monitor but just check on her. It is a large does and she is on a oral diuretic too.






    Quote from emilysmom,RN
    I was told to put in a butterfly then push IV Lasix 100mg in 10ml over 5min. Will have another nurse with me but I am concerned about side effects.
  6. Visit  DookieMeisterRN profile page
    0
    Quote from emilysmom,RN
    I did look it up but I am concerned about monitoring her. She does live in a ALF but they will not monitor but just check on her. It is a large does and she is on a oral diuretic too.
    If you cannot monitor her than I would let the physician know your concerns. Maybe she needs to be admitted as an in-patient.
  7. Visit  fortheloveofpink profile page
    3
    Lasix is supposed to be pushed 1-2 min PER mL, or you risk causing hearing loss in the patient. So really, if you were pushing 10mL, you should have pushed it for at least 10 min.
    SHGR, Sun0408, and DookieMeisterRN like this.
  8. Visit  Esme12 profile page
    0
    Furosemide (Lasix ) - Intravenous (IV) Dilution

    I am not familiar with ALF's and I too am concerned why you would need to start an IV to give a large IV dose of lasix as a one time dose. What is this patient exhibiting that prompted the IV lasix order? Are they SOB and in failure? There are a lot of factors that would influence my decision about the safety of giving this in a home setting. Have the gotten this before? Are they a DNR? What are the so-morbidities?

    If your little voice inside your head is questioning the safety......I would listen and question the order.
  9. Visit  NickiLaughs profile page
    0
    I've given 80, but that was in a hospital setting where I had a foley to monitor u/o an order for albumin, and I checked her BP every 15 minutes for an hour. If you can't monitor, I wouldn't given it. Sounds like she should be getting it in the ER if she's in a ALF, those aren't designed for acute care situations, and I don't even think a nursing home would give that.
  10. Visit  ryrn59 profile page
    0
    This pt sounds like she needs to go to an Acute Care Setting. I would refuse giving any meds that I do not feel comfortable giving. You should tell your Supervisor.
  11. Visit  CapeCodMermaid profile page
    0
    I run a silled facility. We give IM Lasix for CHF frequently. We have a policy to give IV Lasix, but if someone is that unstable, I'm far more comfortable sending them out to the hospital.I don't know any ALFs around here who would give IV Lasix.
  12. Visit  txspadequeenRN profile page
    0
    [color=#cc3366]if she needs that much iv lasix she needs closer monitoring in a more acute setting
  13. Visit  sethmctenn profile page
    0
    That is a high dose for IV push. It can be given at 20mg/min but I typically add 100mg (10cc) to a 50cc NS bag and run it on a pump over an hour.
  14. Visit  akulahawkRN profile page
    0
    You can go slower... 20mg/min with a 100mg dose is IVP over 5 minutes. You can certainly go slower than that. My drug guides state to administer at 20mg/min...


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