Closely monitor the patient’s vital signs, including blood pressure, heart rate, and respiratory rate, every 15 minutes initially, then adjust frequency based on the patient’s response. Observe for signs of dehydration, such as decreased urine output or dry mucous membranes. Regularly assess for electrolyte imbalances, particularly hypokalemia, through serum electrolyte monitoring.
Fluid Balance and Electrolyte Monitoring
Accurately measure intake and output (I&O) to evaluate fluid balance. Report any significant discrepancies to the physician. Potassium levels should be monitored closely; supplement as clinically indicated, following physician orders. Monitor for signs of hypovolemia or hypervolemia, adjusting fluid management accordingly.
Post-Procedure Care
Assess the catheter insertion site for signs of infection or irritation. Remove the Foley catheter as ordered. Educate the patient on signs and symptoms of complications, including dehydration, electrolyte imbalances, and infection, and what to report immediately to their healthcare provider. Schedule a follow-up appointment for lab tests and a clinical evaluation within 48–72 hours to assess the effectiveness of Lasix and monitor for any adverse effects.
