Closely monitor vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, frequently during the initial hours of Lasix administration. Note any trends toward hypotension or tachycardia. Regularly assess for signs of dehydration, such as dry mucous membranes, decreased urine output, and orthostatic hypotension. These indicate the need for fluid replacement.
Electrolyte Monitoring
Obtain serum electrolytes (sodium, potassium, chloride, magnesium) before initiating Lasix and regularly thereafter, as hypokalemia and hyponatremia are potential complications. Adjust Lasix dosage and consider electrolyte supplementation based on lab results. Continuous cardiac monitoring is recommended in patients at high risk for arrhythmias.
Assess lung sounds frequently to track changes in pulmonary edema. Auscultate for crackles and wheezes, noting their location and intensity. Measure daily weights to gauge fluid balance. A decrease in weight reflects successful diuresis. Monitor urine output, aiming for adequate but not excessive diuresis.
Document all findings clearly and concisely in the patient’s chart. Adjust treatment plan according to patient response, ensuring close collaboration with the medical team. Proactive management significantly improves patient outcomes.
