Accurately document every Lasix IM administration. Record the date, time, dose, route (IM), and the patient’s identification number. Note the location of injection. Sign and date your entry.
Patient Response
Observe and record the patient’s response to Lasix within 15-30 minutes post-injection. Document any changes in vital signs, such as blood pressure, heart rate, and urine output. Report any adverse effects immediately, including nausea, vomiting, dizziness, or hearing loss. Use clear and concise language.
Charting
Use your facility’s approved charting system. Follow all institutional policies regarding medication administration documentation. Ensure all entries are legible and error-free. If an error occurs, correct it according to protocol; report the error per your facility’s policy.
Reporting Adverse Events
Report any unexpected or undesirable effects promptly to the appropriate personnel, including the physician and nursing supervisor. Follow the established reporting procedures. Maintain accurate records of all reported events. This is critical for patient safety and quality of care.
Medication Reconciliation
Verify the medication order against the medication administered. Reconcile any discrepancies immediately. This step minimizes errors and ensures patient safety. Follow the facility’s medication reconciliation policy.