medication question

[klfbsnrn]

I'm a relatively new RN on a med/surg floor. The other day I was assigned to float, which basically means I was the med nurse for the floor. A pt was suppose to get Lotensin. BP was 106/72 and HR 70s, so I gave it. The nurse assigned to the pt is also a new RN, and she said that I should not have given it. She said that SBP should be >110 to give the medication. I have always been told to question giving the medication if SBP

[loriangel14, RN]

I would have given it. SBP

[pugmom79]

Ditto

[Whoatemyburger]

I would hold it ... But i would've call the MD just to double check. Maybe the patient is on it for another reason other than BP.

[nrsang97, BSN, RN]

I would have given unless written parameters.

[Do-over, ASN, RN]

You can always go back to check how the patient reacted to the previous dose of that medication. Might help you determine if you need to question it. Also, check if this a new med for that pt or not.

[2011_RN]

I would give the medication. If sbp less than 100 then I would probably hold it

[NutmeggeRN, BSN]

I would have given it, but if there were any other s/s that concerned you, check with MD to clarify if there shold be parameters specific to that pt.

[classicdame, MSN, EdD]

I would have called MD. At the very least the MD needs to know that parameters are important to keep from getting called!

[Sassy-RN]

I would have given it also.

[Been there,done that, ASN, RN]

I would have looked at the BP trend and considered other meds given that effect BP.

If no issues there, I would have given it. New nurse may need to give her own freakin' meds if she is questioning you giving a medication over 6 mm Hg.

[asian67, BSN, RN]

I would have given and monitor pt'bp.