Standoe3

K was 3.1-3.2 it was replaced and no labs for the previous 3 days. And for dig levels I don't recall seeing a lab for that. All the nurses on my unit document BP and HR with all cardiac medications and K levels with Potassium meds/ k wasting ect.

It depends on the hospital I think and the doctors. If the MD gives parameters with the order they are place in our computer system but if not they are not there.....as a student don't assume that parameters will be listed for all BP drugs and make it a habit to document the V/S with all BP meds that extra step will save ur license

All the feedback is great! Thx for all your input everyone

Thx for the insight I feel better about it now. I do have insurance starting the 14th with NSO I applied yesterday morning and got the conformation today for 1mil./6 mil. I love this stuff just to see how complex yet how simple problems can managed with Rx and good nursing action amazes me everyday. I love my job

I can't recall if it was that Pt or another but if so wouldn't the HR be a lot higher?

My question is the nurse role had the pt coded and died I'm liable even if I document the MD is aware of current BP hr so when can we use our judgement to not administer meds and not be in trouble for doing that...

Pt Hx of aortic aneurism, HTN, neorogenic bladdrr can't remember the rest

I just completed my orientation and was released so I am a newgrad LVN working fulltime days. I had a situation with a pt who has a Hx of HR of 60 at best he has bottomed out before around 45bpm when given meds. I gave lasix, lisinopril, coreg, and held digoxin V/S 130's/60's hr 58 at 9am pass around 3 the MD came on the unit and i notifed him of the situation and new V/S 98/63 hr 54, and the MD verbalized to give digoxin. I confirmed with pharmacy and they stated the pt might experience syncope with walking i replied he is bedbound...I gave the digoxin documented MD aware and apical pulse 54...he stayed at a HR of 49-50 for the rest of my shift at 7pm...what would have you done I looking to learn one nurse on the unit agreed with what i did another said she would have presented the situation to the MD that she is holding the med and not giving it and notifing the MD of the action.