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Questionable parameters?



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Oct 15, 2008 07:21 AM

Questionable parameters?

by GLORIAmunchkin72 Premium Member

Would you give a patient a blood pressure medicine if his or her systolic pressure were 85?

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20 Comments
No. 1
from DWILKINS22
Old Oct 15, 2008, 09:51 AM

Default Re: Questionable parameters?
I am a student, graduating May 2009, but no I wouldn't. We are taught it has to be over 90. 85 is close but not close enough to medicate. Hope this helps.
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No. 2
from DWILKINS22
Old Oct 15, 2008, 09:52 AM

Default Re: Questionable parameters?
Sorry I thought you meant diastolic.
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No. 3
from morte
Old Oct 15, 2008, 11:13 AM

Default Re: Questionable parameters?
there may be good reason for this, ie very diseased heart...
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No. 4
Old Oct 15, 2008, 10:30 PM

Default Re: Questionable parameters?
No, I wouldn't.
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No. 5
from morte
Old Oct 15, 2008, 10:33 PM

Default Re: Questionable parameters?
what is the background on this patient?
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No. 6
Old Oct 15, 2008, 11:11 PM

Default Re: Questionable parameters?
I don't understand why the doctor would not change the parameter to a higher systolic number. He has been questioned about it twice.
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No. 7
Old Oct 16, 2008, 08:32 AM

Default Re: Questionable parameters?
Some docs want the patient to have a beta blocker to help the heart function and will give Coreg 3.125 with parameters to give with a BP of over or equal to 85.

However, I would expect that the patient would be in the Unit where someone could immediately reverse a systolic that was going too low. Floor nurses generally have too much to do and cannot continuously monitor a pt's BP as well as the CCU can.
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No. 8
from morte
Old Oct 16, 2008, 08:39 AM

Default Re: Questionable parameters?
Originally Posted by Angie O'Plasty, RN View Post
Some docs want the patient to have a beta blocker to help the heart function and will give Coreg 3.125 with parameters to give with a BP of over or equal to 85.

However, I would expect that the patient would be in the Unit where someone could immediately reverse a systolic that was going too low. Floor nurses generally have too much to do and cannot continuously monitor a pt's BP as well as the CCU can.
perhaps the patient is DNR....and the OP, why not ask why instead of for a change, after all it is the doc practicing medicine not ye
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No. 9
from Altra
Old Oct 16, 2008, 04:07 PM

Default Re: Questionable parameters?
Is this a renal patient? If so, it may be appropriate to give it.
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