so similar situation happened, this pt had cad, htn, dm, a.fib, dialysis w/ckd and on carvedilol 3mg, amiodarone, and hydralazine 100 mg and bp ~120/48, hr 80 at the end of the shift. Gave first two except hydralazine thinking pt prob needs carvedilo...
so this pt is in med surge unit, and don't remember everything but pt was on those two medications for some time and hx wise pt came in for pressure ulcer. Pt's vital signs seemed to be within that range but diastolic was lower than usual and last ti...
oh....so even though diastolic maybe <60, if systolic is high (>120), we still treat it? then if systolic is little low (e.g ~100) and diastolic low as well (e.g. <60), then that's when we have to hold if no parameter present? do we have to ...
well I didn't know it either but found after googling that isolated hypotension is when blood pressure, usually diastolic hypotension, is < 60 while systolic is normal or above the normal (e.g. > 120).
Im a relatively new nurse and still confused about when to hold blood pressure medication. Most of the patients i see have isolated diastolic hypotension bp ranging like 110/54, 135/55, etc etc. One patient i had was at the end of the shift had sched...
just checked spam mail..nothing but fake mails about miracle pills...my guess is either they are overwhelmed by amount of workload they have to do or there's nothing really for us to do in the 1st week....darn it someone please give us new informatio...