diluting I.V lasix

Gompers, BSN, RN · Jan 20, 2006

I've never diluted Lasix, either. And I work in NICU, where everything seems to need dilution because of the fragile babies' veins. We just give the 10mg/ml injection straight up, slow IV push (1mg/kg/dose). The only time we'll dilute it is if the dose is less than 1mg, but that's only for accuracy since those doses would be

HappyJaxRN · Jan 20, 2006

happy new year folks,
l just started a new job where they don't mix their lasix with NS before pushing it and l came from a hospital where we mix, what is the best method and what do you guys do in your practise, to mix or not to mix?

I was told that certain drugs you don't dilute with NS and lasix is one of them because it effects how they work on the body, ie they are not as effective.

Gompers, BSN, RN · Jan 20, 2006

I was told that certain drugs you don't dilute with NS and lasix is one of them because it effects how they work on the body, ie they are not as effective.

We were told that too - so if we need to dilute a small dose, we use vials of sterile water instead, as does pharmacy. We make it 1mg/ml if we're diluting.

JennRN&Mom23 · Jan 20, 2006

I have never diluted IV Lasix.

DutchgirlRN, ASN, RN · Jan 21, 2006

Pharmacy told me it doesn't matter an long as you don't push any faster than 10mg per minute. I never dilute either, unless, for times sake, I'll put 80mg in a 25c PB. The largest does I've ever had to give was 160 mg.

I don't understand not mixing lasix with NS, we have lasix/diurel drips mixed in a 100CC NS bag, all the time.

ERNurse752, RN · Jan 21, 2006

Same here, never have diluted it

actioncat · Jan 23, 2006

I was wondering, to ensure you push meds slowly, does anyone push on a high port and turn down the rate of infusion of the maintenance IV? That is what I do.

zacarias, ASN, RN · Jan 23, 2006

You don't really need to turn down the infusion unless it's going super fast.

ERNurse752, RN · Jan 23, 2006

I was wondering, to ensure you push meds slowly, does anyone push on a high port and turn down the rate of infusion of the maintenance IV? That is what I do.

I do not. I give it in the closest port, and if I have NS running, I have it going wide open. I just push the med in increments over whatever time is required.

New CCU RN · Jan 23, 2006

I have never diluted.

We push it 40mg/minute though - never heard of the 10mg/min - that would take 10 minutes to push 100 mg which we often give.