Jump to content

Dilute Lasix before giving IV?

Nurses   (1,863 Views | 40 Replies)
by guest1139088 guest1139088 (Member) Expert Nurse

guest1139088 specializes in ER.

155 Profile Views; 19 Posts

When I give Lasix, I mix it in a 50ml bag of NS, and hang it over 2 minutes. If the patient already has some NS running I just push it over 2 minutes. Good practice?

Share this post


Link to post
Share on other sites

MountaineerFan57 is a BSN and specializes in Critical Care/CVICU.

33 Posts; 843 Profile Views

Our pharmacist doesn’t have us dilute any dose less than 80mg. 

Share this post


Link to post
Share on other sites

JBudd has 38 years experience as a MSN and specializes in Trauma, Teaching.

2 Followers; 1 Article; 3,756 Posts; 35,801 Profile Views

Why bother with the bag?  If I'm giving it through a saline lock, I might dilute with a saline flush to make pushing it slowly easier, but only a few mLs.

Just don't give faster than 10 mg/minute; risks ototoxicity.  You didn't say what dose you are giving?  2 minutes isn't long enough for higher doses.  We had a cancer pt who had lost some hearing after getting too much too fast at another hospital.

Share this post


Link to post
Share on other sites

guest1139088 specializes in ER.

19 Posts; 155 Profile Views

Good to know, thanks! 

Share this post


Link to post
Share on other sites

LibraNurse27 has 5 years experience.

169 Posts; 3,020 Profile Views

I wouldn’t dilute with 50ml since patient is likely already fluid overloaded. I definitely do the slow push though 😊

Share this post


Link to post
Share on other sites

1,140 Posts; 7,807 Profile Views

Why are you mixing it?  To me, that’s practicing outside of your scope of practice.  There is absolutely no indication to do this.

When we have any medication that requires diluting, we have an order to do it and how much to dilute and with what, whether It’s saline or sterile water.

I don’t get why people think they need to dilute every medication.  You can’t just decide to mix things and how much to mix them with.  You are not a pharmacist.

Share this post


Link to post
Share on other sites

1,717 Posts; 17,814 Profile Views

OP- what is your rationale for your current approach?

Share this post


Link to post
Share on other sites

guest1139088 specializes in ER.

19 Posts; 155 Profile Views

Just curious how other folk did it 

Share this post


Link to post
Share on other sites

7 Followers; 3,397 Posts; 23,995 Profile Views

2 hours ago, Patrick8403 said:

Just curious how other folk did it 

Is the way you do it your hospital's policy or is this just something you came up with? What exactly is your rationale for doing it this way?

Share this post


Link to post
Share on other sites

guest1139088 specializes in ER.

19 Posts; 155 Profile Views

What are you JCAHO? I got your policy hanging! I do what I want! 

Share this post


Link to post
Share on other sites

1 Follower; 2,292 Posts; 48,465 Profile Views

1 minute ago, Patrick8403 said:

What are you JCAHO? I got your policy hanging! I do what I want! 

Temper, temper.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.