lasix not given..

[acts456]

Living now in rural Florida. Docs hear wont give more than 80 of Lasix a day and let Chf pts go home,. Had to go to 3 diff docs just to get lasix. Is there something i am overlooking or is this just the sticks. My client still inCHF help

[roser13, ASN, RN]

Are you a nurse? Or?? Not sure what "Adm" is?

I don't understand - are you doctor-shopping on behalf of your "client" to obtain what you deem necessary?

[MunoRN, RN]

I don't totally understand your post either, are you saying your patient's lasix dose is insufficient and no Doc will up the dose?

[Coldsvt]

Well lasix increases the risk for falls, hypokalemia. Steves johnson is a risk. I kinda like to see a BP before i push 80 of lasix and again 30mins later especially if they are a geriatric pt.

To be honest i dont blame to physician one bit as it could be a liability they dont want. Lasix while quite common is nothing to play with

What other meds was the pt on? Or supposed to be on

[AnnieOaklyRN, BSN, RN, EMT-P]

You need to look at the latest research, most of which says we have been killing our patients with excessive lasix rather than helping them!

Annie

[acts456]

Adm is my name. I am an RN. Have a pt needing lasix.

[acts456]

80 of lasix p.o. not excessive. She is in and out of CHF weights 300 lbs.

[acts456]

Needing p.o. at home. Has high bp wt 300lbs

[TheCommuter, BSN, RN]

Many of the physicians in my area will not order more than 80mg of Lasix in a 24-hour period due to the risks of volume depletion, falls, hyponatremia, hypokalemia, weakness, and a whole host of other problematic issues.

[Emergent, RN]

The patient sounds like a train wreck. Just document appropriately and move on.

[blondy2061h, MSN, RN]

If you're that concerned about her, does she perhaps need a brief "tune up" inpatient stay?

[acts456]

My client wt is 300 lbs. She needs depletion....no risk of falls, etc, very strong