A nurse is caring for an adult client admitted with acute decompensated heart failure. The healthcare provider prescribes mg of furosemide to be administered intravenously (IV) push. The medication is available in a vial labeled mg/mL. The client currently has a continuous peripheral IV infusion of dextrose in water (D5W) running at mL/hr. Which of the following is the safest and most appropriate nursing action for administering this medication?
- ADraw up mL of the medication and administer it rapidly over to seconds to ensure immediate diuresis.
- BStop the D5W continuous infusion completely before administration, as furosemide and D5W are incompatible at the Y-site.
- Draw up mL of the medication and administer it continuously over a minimum of minutes.Cevap
- DWithhold the medication and assess the client's baseline urine output for one hour before determining if the full dose is necessary.
Cevap
The nurse should draw up mL of the medication and administer it continuously over a minimum of minutes.
Furosemide is a potent loop diuretic. When administered intravenously, the maximum safe rate of administration is generally mg per minute to prevent ototoxicity (which can manifest as tinnitus or permanent hearing loss). For a prescribed dose of mg, the nurse must divide the dose by the maximum rate ( mg / mg/min), determining that the push must take a minimum of minutes. The volume calculation is straightforward: mg divided by the concentration of mg/mL equals mL.
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Safe administration of intravenous push loop diuretics