Continuously monitor vital signs, including blood pressure, heart rate, and respiratory rate, at least every 15 minutes initially, then adjust frequency based on patient response. Closely observe for signs of dehydration, such as decreased urine output, dry mucous membranes, and hypotension.
Electrolyte Monitoring
Serum electrolytes, particularly potassium, sodium, and chloride, should be checked before starting the infusion and then regularly, typically every 6-12 hours, depending on the patient’s condition and response to therapy. Hypokalemia is a common side effect; promptly address any significant decreases.
Fluid Balance
Meticulously track fluid intake and output. Accurately measure urine output hourly and compare it to the previous hour’s output to detect changes. Pay close attention to overall fluid balance to prevent dehydration or fluid overload.
Renal Function
Monitor renal function with regular creatinine and BUN levels. Assess urine output frequently for any abnormalities. Adjust the Lasix infusion rate as needed based on renal function and response to treatment.
Other Potential Complications
Observe for other potential complications, such as ototoxicity (ringing in the ears, hearing loss), and metabolic alkalosis. Report any unusual findings to the physician immediately. Document all findings carefully and thoroughly.
