IV push hydralazine or labetalol - tele?

  1. 0
    Does your facility require your antepartum patients be on a tele monitor if you're administering those medications?
  2. Get our hottest nursing topics delivered to your inbox.

  3. 15 Comments so far...

  4. 0
    As of recently, yes
  5. 2
    Monitoring should be required! Labetalol can drop a pulse rate. Both meds can have a rebound to HTN. Even if the hospital does not require monitoring, I would never give either med without monitoring to protect not only the pt, but my license!
    Just my 2 cents
  6. 2
    Quote from sookieRN
    Monitoring should be required! Labetalol can drop a pulse rate. Both meds can have a rebound to HTN. Even if the hospital does not require monitoring, I would never give either med without monitoring to protect not only the pt, but my license!
    Just my 2 cents
    But HR and BP can be monitored without the use of tele. I'm talking about actual tele monitoring.
    SmilingBluEyes and wooh like this.
  7. 0
    Labetalol yes, Hydralazine no, but requires constant BP monitoring.
  8. 0
    yes, tele, to both. They just made that change recently at our hospital. They don't have a tele monitor in PP and the RNs aren't required to have an EKG class... And Tele doesn't take Mag patients, so our facility is trying to figure out what to do with pt's that may need IV hydralazine or labetalol who are also on mag. As of now our only option is to send them to ICU/CCU (or back to L&D which can not always be done due to census)...
  9. 0
    Tele monitoring for hydralazine, no. We don't give IV labetalol that I've ever heard of.
  10. 0
    Definitely for labetolol (beta blocking can be overdone)
    Hydralazine needs continuous BP.
  11. 0
    Don't believe we give Labetolol IVP where I am but we do push Hydrazaline. And not to my knowledge is Tele required, but we do place on pulse ox and frequent BP monitoring.
  12. 1
    We give both hydralazine and labetalol IVP frequently, and do not have the pts on tele. We do frequent BPs and pulse rates, but I think I would be much more comfortable if they were on tele monitoring.
    nursekimmi likes this.


Top