If weight increases by 2 kg over 2 days increase Lasix by 20mg
If weight decreased by 2 kg over 2 days decrease Lasix by 20mg.
today I'm 110, tomorrow I'm 112, the next day I'm 115-so I should get 60mg
Then I'm 115, 115...I keep getting 60 mg
Then I'm 110...back to 40mg
then I'm 105...20mg???
Our providers refuse to change the order because 'that's how she was being managed in the hospital'....hate to break it to you, ladies, we are NOT a hospital.
Nope, if the lasix dose really needs to be changed, then the MD needs to change the dose or order a one-time dose with each daily weight as he sees fit. Each time. PRN lasix sounds like a bad idea in an acute setting and a terrible idea in LTC.
What's next, warfarin orders with PRN dosages based on INR results?
BrandonLPN, LPN
3,358 Posts
Nope, if the lasix dose really needs to be changed, then the MD needs to change the dose or order a one-time dose with each daily weight as he sees fit. Each time. PRN lasix sounds like a bad idea in an acute setting and a terrible idea in LTC.
What's next, warfarin orders with PRN dosages based on INR results?