Quote from suzem
I had a patient with a BP 170/107. I wanted to give her four morning
BP meds to see if I could get it down before contacting the Doc.
Background: Patient was 89 yo female, comfort measures, with intracerebral hemorrhage, BPs were trending high, but not that high...
I think this is the key issue here.
The question is:
1. Should I treat this patient's BP of 170/107 with her morning BP meds STAT?
2. Should I continue on to my other patients, assess them and return to this patient later and give her morning meds?
I'm not sure I can answer the OP with any degree of confidence just yet.
Yes, a BP of 170/107 appears high (given OP states pt. has a brain bleed and the BP has been trending high), but was the pt. symptomatic
I think that would be my 'motivator' (along with added data on the BP trend).
If the pt. showed no major change in symptoms or no adverse shift in BP, I would probably wait, assess my other pts. and make sure they're ok before I returned to this pt.