I was wondering if anyone knew if pushing hydralazine fast has an increased risk of SVT?
Here is why I ask:
I received handoff on two of my four patients from one nurse. On patient #1 she reported to me that she had given the patient hydralazine 20mg IV and the patient went into SVT. She didn't say anything about patient #2. That night I of course didn't push hydralazine on patient #1 (her pressures were fine anyways), but I did on patient #2. I couldn't get his diastolic under 100 all night long, and his systolic was always around 160. I didn't have any problems with the medication other than it didn't work too well.
Next day I give report back to that nurse, told her I pushed hydralazine on patient #2. She then told he had also gone into SVT when she had pushed hydralazine on him. She hadn't mentioned this the day before.
So basically I was wondering if she had pushed the hydralazine fast and that had caused SVT in both patients. My other thought was that maybe she didn't dilute it. Just seems weird that both of them did it to her and I have never had that problem on any patient I have given this med to. On the other hand she could have done everything right and still had it happen. Have any of you seen this? What else could have caused it? Any ideas?