i.e. a stream of messages like: "BEGIN", "[the data]", ["COMMIT" or "ROLLBACK"].
So any application that listens to the Postgres replication protocol can handle the transaction in the same way that Postgres does. Concretely you might choose to open a SQLite transaction on BEGIN, apply the statements, and then COMMIT or ROLLBACK based on the next messages received on the stream replication protocol.
The data sent on the replication protocol includes the state of the row after the write query has completed. This means you don't need to worry about getting out of sync on queries like "UPDATE field = field + 1" because you have access to the exact resulting value as stored by Postgres.
TL;DR - you can follow the same begin/change/commit flow that the original transaction did on the upstream Postgres server, and you have access to the exact underlying data after the write was committed.
It's also true (as other commenters have pointed out) that for not-huge transactions (i.e. not streaming transactions, new feature in Postgres 15) the BEGIN message will only be sent if the transaction was committed. It's pretty unlikely that you will ever process a ROLLBACK message from the protocol (although possible).