This order directs administration of Lasix (furosemide) 40 mg intravenously (IV) push twice daily (BID) and discontinuation of the Foley catheter (DC Foley).
Lasix Administration
Lasix 40 mg IVP BID should be administered by a qualified healthcare professional. Always verify the patient’s identity using two identifiers before medication administration. Monitor the patient’s blood pressure and heart rate before, during, and after administration. Observe for signs of dehydration or electrolyte imbalance.
- Before administration: Check for allergies and assess renal function. During administration: Administer slowly over 1-2 minutes, monitoring the patient closely for hypotension or other adverse effects. After administration: Monitor vital signs, urine output, and electrolyte levels (potassium, sodium).
Patients receiving Lasix often require close monitoring of their fluid balance, potassium levels, and overall health status due to the drug’s potent diuretic effect.
Foley Catheter Removal
Removing the Foley catheter (DC Foley) requires careful adherence to aseptic technique to prevent urinary tract infection. Before removal, the nurse should check the patient’s chart for any relevant instructions or contraindications.
Preparation: Gather necessary supplies: sterile gloves, antiseptic solution, drainage bag, clean gauze pads. Removal: Deflate the balloon, gently remove the catheter, and immediately assess the patient’s ability to void. Post-removal: Monitor for urine output; if output is insufficient, report it promptly to the physician.
The decision to remove the Foley catheter is based on the patient’s clinical condition and should be carefully considered by a healthcare professional. Post-removal monitoring for urinary retention is critical. Encourage patients to increase fluid intake to support proper urine production.
Potential Interactions and Considerations
- Lasix can interact with other medications, such as digoxin and lithium. Always check for potential drug interactions. Monitor for signs of hypokalemia (low potassium) and other electrolyte imbalances. Patient education on medication side effects and potential complications is paramount.
This information is for educational purposes only and should not substitute for professional medical advice. Always consult with a healthcare professional for personalized guidance regarding Lasix administration and Foley catheter removal.
