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Discussion

Blood Pressure

How high are BP parameters that need to be referred to MD? Im new to telemetry. Used to see pts with prn meds for sbp>160.

My pt who has hx of htn had a bp of 180/100, so i called the resident on call, in case he may order some stat or prn meds, but he just told me to recheck it and inform him if ever it gets higher as my pt's bp is "not that high" and he may do something in case it gets more elevated.

I ended up giving her am bp meds earlier than scheduled when it doesnt seem to drop, as i have done similar thing with a previous pt-with the knowledge of my charge nurse.

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That's a tricky thing. You will feel more at ease as time goes on regarding this. You did the right thing calling the doc for that 180/100 BP. Even if he does nothing, you notified him and that is right thing. Giving the med early is great too.

If a patient has had a 180/100 BP and the doctor was aware, I might not call him if the pt gets that high again. It ALL depends on what meds are ordered and what the MDs plan was when he called initially.

Good job.

Depends on the pt/doctor. Some pt's have prn HTN meds, w/ parameters set by physician-sometimes its 160, sometimes 170, sometimes 180. If they do, I just give the prn med and mention it to the physician when I see them that day. That's what the prn's are for.

If the pt is say, 150s or 160s, and have scheduled HTN meds, I'll give them early, and see if the scheduled meds bring it down. If not-call the doc.

question regarding elevated standing bp at the end of dialysis treatment pt bp is normal during tx until the last hour of tx approx 170/90 then when he stands it up to 205/105 any suggestion on help control pt bp

toney

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