chf questionRegister Today!
- by getoverit Feb 22, '08we have been discussing this today and have not come up with an answer. I currently have a patient admitted with diffuse CAD and CHF. He is on a Natrecor gtt @ .005 mcg/kg/min. He is 104 kg and BNP is 3212.
The question: "How accurate is the BNP while on a Natrecor gtt?"
My completely uneducated guess would be very minimal change d/t the fractional amount we are giving.
Does anyone else have any input? Thanks in advance.
- Feb 22, '08 by Surgical Hrt RNQuote from diarygirl512AMEN!!!!!! I HATE when docs order a BNP while on Natrecor! Pointless....but I am just the nurse what do I know?It's not accurate if drawn while he was on natrecor. Natrecor is synthetic BNP.....
BNP should be drawn before or after the drip is initiated.
- Feb 22, '08 by getoveritthanks for your responses. I guess I should have given more details. He presented with BNP>6500 without Natrecor and is now trending down, while on the Natrecor gtt. I do understand that it is a recombinant form of B-type naturietic peptide and it will provide a falsely high lab value. We just thought maybe there was some formulary or equation to figure a more accurate measurement.
Thanks again for your input.
- hmmmm - The extra details are nice, but the BNP should still be drawn after the drip is stopped next.