IV push hydralazine or labetalol - tele?

  1. Does your facility require your antepartum patients be on a tele monitor if you're administering those medications?
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  2. 15 Comments

  3. by   tammy777
    As of recently, yes
  4. by   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
  5. by   klone
    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.
  6. by   babyktchr
    Labetalol yes, Hydralazine no, but requires constant BP monitoring.
  7. by   tammy777
    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)...
  8. by   ElvishDNP
    Tele monitoring for hydralazine, no. We don't give IV labetalol that I've ever heard of.
  9. by   PostOpPrincess
    Definitely for labetolol (beta blocking can be overdone)
    Hydralazine needs continuous BP.
  10. by   SmilingBluEyes
    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.
  11. by   Bree124
    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.
  12. by   ragingmomster
    Quote from JoPACURN
    Definitely for labetolol (beta blocking can be overdone)
    Hydralazine needs continuous BP.
    Are you talking about an arterial line for continuous BP monitoring? Just wondering, we push both meds for pre-eclampsia but don't have tele. We just do frequent BP monitoring following admin, and some will stretch the VS check to 20 minutes as that is likely peak of effect of med.
  13. by   mommybess
    referring to our postpartum pts with BP issues. We can do one dose of IVP Labetalol and Hydrazaline, if this does not reduce BP, they go back to L&D where they can be more closely monitored (still no tele).
  14. by   voraciousj
    We require a nurse to monitor the tele while we are pushing the labetalol. It can cause ventricular arrhythmias.

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