Lasix 100mg IV push

[emilysmom,RN]

My company started a CHF program. I am asked to adminsiter Lasix 100mg/10 ml IV push no IV line in. Patient also on torsemide 100mg BID. Verified orders. Has anyone administered this in the home? If so rate? How long did you stay to monitor for side effects.

[NurseKatie08, MSN]

In the home? Wow. I'd be uncomfortable doing that. In the skilled nursing facility I'm at we can't push drugs at all.

[ckh23, BSN, RN]

The rate is 0 because you can't give it IV push if they don't have IV access.

[mrmedical, ASN, BSN]

That's a pretty large dose to be pushed. I've only seen up to 80mg administered IVP, anymore than that they order an infusion of 20-160mg/hr. This patient doesn't have a PICC or any venous access?

Prentice Hall's nurses drug book says for IV lasix give 20mg/min or for higher dose 4mg/min. IV onset is 5 minutes with a 30 minute half life.

[I<3H2O, BSN, RN]

The rate is 0 because you can't give it IV push if they don't have IV access.

I think the nurse meant, she is mainlining it right into the vein without a saline lock in place.

[AMN74]

We have a CHF protocol for certain cardiologist that refer patients to our home health agency. If the patient is having CHF symptoms and the MD has signed off on the CHF protocol it is 80mg lasix IVP over 10 minutes. We have to start the IV. After the administration of the lasix we monitor vital signs 30 minutes post administration. We have to sit with the patient at least 1 hour, and assure that they are having urine output, if no output then we call the MD. Of course these are patients that weigh daily, so they are to weigh the next morning and we have to make a return visit the following day and obtain a BMET to check kidney functions. OH, and along with the administration of the 80mg of lasix they are to take either 10 or 20 mg of potassium orally, depending on which the MD checks on the protocol.