IV push hydralazine or labetalol - tele?

[klone, MSN, RN]

Does your facility require your antepartum patients be on a tele monitor if you're administering those medications?

[tammy777]

As of recently, yes

[sookieRN, BSN, RN]

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

[klone, MSN, RN]

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.

[babyktchr, BSN, RN]

Labetalol yes, Hydralazine no, but requires constant BP monitoring.

[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)...

[Elvish, BSN, DNP, RN, NP]

Tele monitoring for hydralazine, no. We don't give IV labetalol that I've ever heard of.

[PostOpPrincess, BSN, RN]

Definitely for labetolol (beta blocking can be overdone)

Hydralazine needs continuous BP.

[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.

[Bree124, BSN, RN]

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.

[ragingmomster, BSN, MSN, RN]

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.

[mommybess, BSN, RN]

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).