everybodyluvsanurse
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Thank you!!! All your comments were VERY helpful for future reference. I did not give the prn clonidine. In a simular situation days later the patient was given a prn clonidine too soon by someone else and ended up in the ER.
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Really really!!!!!!!!!!! I educate myself everyday after work and on my days off! I spend hours on the computer researching. I spend even more time reading books, talking to more experienced nurses, going to inservices, taking ceu's, signing up for classes at the local college and browsing ltc nursing forums to soak up every once of extra knowledge that another nurse may have to offer!!!! I'm willing to bet my pay check most ltc nurses out there do just what i do.
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OMG! U MADE ME RETHINK TRYING TO DO THIS JOB! IM SO SORRY FOR YOUR SITUATION, MY HEART TRULY GOES OUT TO YOU. :redpinkhe THAT IS MY BIGGEST FEAR EVERYDAY I GO TO WORK. SCARY, IT COULD HAPPEN TO ANYONE OF US.
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ROTFL!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! COULDNT OF SAID IT BETTER!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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I had a resident today who is a brittle diabetic and receiving dialysis. During the 12noon med pass, done by the med aide, the resident's b/p was checked prior to getting b/p meds. The b/p was 200/80 (not reported to me). Then the resident was given his routine b/p meds by the med aide. I found out his b/p was elevated when the family showed up, checked the b/p and became irrate with me. I was finally able to assess the resident at 1230p. I did a manual blood pressure, it was 176/80. How long should I wait to see if routine b/p meds are gonna take effect before I give prn clonidine??? The family was very angry and wanted me to give prn clonidine right then. According to the MAR this resident's b/p runs in the 200's daily, and usually resolves with routine b/p meds (If the documentation on the MAR is truthful and accurate). I only seen 1 incident on the MAR where prn clonidine was given. **sigh** I don't want the resident to stroke out....b/p seemed to be coming down....I didn't want to give him clonidine and have the pressure bottom out either. Any advice would be greatly appreciated.