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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.
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.
If you cannot monitor her than I would let the physician know your concerns. Maybe she needs to be admitted as an in-patient.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.
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.
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.
emilysmom,RN
222 Posts
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.