guidelines for BP

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Any guidelines for BP before NTG & Morphine administration for CP? Would love input

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

post moved for best response.

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Last post was moved to Best Response section and would very much like to read it, I cannot find it, can anyone help?

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Specializes in Pediatrics, Emergency, Trauma.

OP, Esme moved your post to see if you can get the best response...

What type of BP med is it???? ACE, Beta-Blocker????

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Specializes in Complex pedi to LTC/SA & now a manager.
Last post was moved to Best Response section and would very much like to read it I cannot find it, can anyone help?[/quote']

No, this means the thread was moved from the original forum you posted in to the more appropriate nursing & patient medications forum in the hopes of eliciting a better response

To answer your query, Often this is not a straight guideline but patient specific and/or facility protocol. BLS protocol might be min systolic of 120mm/Hg since BLS cannot initiate or provide IV fluid support. In a hospital setting the number may be patient specific (higher or lower) depending on baseline, comirbid conditions, etc.

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I meant what does the BP have to be before I can give NTG and Morphine? In other words, if BP is above....I ca give it and below it I can't

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Specializes in Neonatal Nurse Practitioner.

You should follow company policy and their recommended drug reference.

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What are the guidelines & parameters for BP before NTG & Morphine administration so as to prevent BP bottoming out?

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Specializes in Cardiology.
What are the guidelines & parameters for BP before NTG & Morphine administration so as to prevent BP bottoming out?

The parameters should be written into the med orders, and if not, you should call and get them added. It can be different for each pt.

Generally, we don't hold meds until the SBP

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Specializes in Pediatrics, Emergency, Trauma.
You should follow company policy and their recommended drug reference.

^I agree...This...

OP, I thought you meant BP meds...that's what I get for reading 1/2 sleep!

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Specializes in Cardiology.

And if it is for emergent chest pain,we hook them up to a bedside and give it...get another nurse in the room to grab a bolus, call the cardiologist and get their opinion....

I didn't read carefully before answering before- I was thinking BP meds. You don't have time to mess around getting parameter orders so you need to use nursing judgement. I give the first SLN if they are above 100 and then get on the phone while waiting 5 min between doses. Get the md to the floor and let them make the decision for the next one if the SBP is dropping.

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Pt's BP was about 110/78 but she bottomed out after 1 SLN. Trendelenburg and NS bolus got her BP back up, but afterwards I questioned my judgement for giving it to her at all and wanted to learn from it and prevent this in the future

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