nextdoorguy

His bp dropped to 90/60 then to 80/40. Dr discontinued the meds that night. He said it could be an underlying infection

I think the parameter was hold if dbp is less than 100 but i think the dr was referring to th sbp not dbp. I clarified that with a senior. Weeping angel we are ont he same page. I give it when it's normal. As long as it is not low.

So we have this patient who happens to be on micardis 40 mg. He usually takes it in the morning. So what happened was his bp was around 90/60. But when we checked later that morning his bp was 110-120/70. So we gave him his meds. Later that night he became hypotensive. He is being mad because we gave him his maintenance at a normal bp. Am i at fault?

thanks for that, an elderly patient did not react. there was no fever no nada. thanks you helped me have peace of mind:)

this is my dilemma

there was a time when we asked questions and it was a nice discussion of opinion. now it's all is this an assignment??

sorry for the late reply. this isnt an assignment. it happened here in my workplace, this homecare center in india. the order was to transfuse leukodepleted blood to this old guy who has been in our unit for quite some time. the blood unit was divided into two to prevent congestion i guess. this guy also has thalassemia. the blood came it was checked by the doctor. it was checked by the nurse and co nurse. it was hooked as side drip. later that we realized that it was not reduced with wbc. what harm would it have done to the patient. nothing happened to him though.

when do you use leukodepleted blood versus untreated blood? what is the difference and what are technology risk? For example, in patients with anemia or for OR?