bushy

Thank you all for your imput on our BP problem. I especially liked the inservice idea from llg....I understand the needs of patients and giving certain meds but we would like to the reasons why we are doing it. Thanks to you all and have a great day! Bushy

I have a question for you all. We have several patients who are on very high doses of BP meds (i.e. Lopressor 100/Capoten 100mgm) and the Attending and his PA's have written orders to give it unless their BP's drop to 90/50!!! The patient on the Lopressor we have to give until his Systolic drops to 70 or below!!!!! Give it or else....no questions asked!!! If you do not give it it will be a med error and you will be written up! We can no longer use Nursing judgement. I was taught in school that you do NOT give a BP med if the BP drops to or below 120/60! Has this changed? We are told that these meds are not so much for BP but to increase his cardiac output and that's fine but 90/50????? This goes against everything I was taught. We are being told NOT to question them because they have a license and know more than we do......and what do I have a punch ticket from Subway??? If it were to ever go to court I would be one liable because I gave the medication. Thanks!!!