Hi All, if anyone could give me any input on this it would be greatly appriciated.
Pt with CHF...excessive fluid build up, edema all over the body, has a foley in, usually OP between 250-400 each 8 hr shift. On admission orders for lasix 40mg Qday...found out quickly thats not enough. unit manager talked with MD, and he orderd Bumetanide 2.5mg po QD. I saw the order written after MD left building, as I was taking off order..I am unfamiliar with bumetanide. I know its a loop diuretic...same class as lasix right? Correct me if im wrong..? Both are potassium wasting diuretics i believe... i looked up some info in drug book and on internet...My question is MD did not order to d/c lasix. Can both diuretics be given at the same time? Im concerned about the risk for hypokalemia... The med was ordered friday evening, pharmacy should be sending medication late this evening and pt should get first dose by me at 9am tomorrow. I put a call in to MD today to ask about it, and did not recieve a call back. Am i being over cautious? Could anyone give me any insight....Thanks a bunch!