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

by Blackcat99

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B/P was 90/60. What would the B/P have to be before you would call the doctor on night shift? I work in the "skilled side" at the LTC. The doctor does not have orders or parameters in regards to calling him in regards to the... Read More


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    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.
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    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.
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    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. 1
    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.


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