Do you call the doctor at night for low B/P's on night shift? - Page 4

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  1. Dec 16, '12 by
    What did your supervisor say? If I was placed in that position the very first words out of my mouth to that doctor would be " The 3-11 RN supervisor told me I needed to call you about this B/P" lets see where it goes from there.
    Mandylpn and Blackcat99 like this.
  2. Dec 16, '12 by
    Quote from muffylpn
    I would ALWAYS push fluids if I had an 80/50
    I would be a little careful with this comment. All else being equal, fluids would be appropriate. But say they are a dialysis pt on a strict fluid restriction or the are a CHF'er. Point is, some critical thinking has to go into this before just saying 'push fluids.'
    LTCangel and Blackcat99 like this.
  3. Dec 16, '12 by
    Yes of course CHF and dialysis would be exceptions to the rule. But it's what we do as a routine with our elderly Pts. first before we start IVs on them. That is me and the other RNs I work with. Including our supervisors who would ask if we tried pushing fluids first.
    Blackcat99 likes this.
  4. Dec 16, '12 by
    Quote from muffylpn
    Yes of course CHF and dialysis would be exceptions to the rule. But it's what we do as a routine with our elderly Pts. first before we start IVs on them. That is me and the other RNs I work with. Including our supervisors who would ask if we tried pushing fluids first.
    All I'm saying is that there is a lot more to it than just "push fluids." Is 80/50 "normal" for this pt? Are they at the baseline level of orientation? What is their HR and other VS? What are their other comorbidities? Etc, etc.
    Blackcat99 likes this.