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CLP75

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  1. Hey there...first time posting. I'm a new grad working on a telemetry floor (night shift). I had a patient HFrEF 20 -25%. HTN on hydralazine 100mg q 6 hours. At 9 bp wa 122/63. Gave her her 100mgs. At midnight she refused her VS so I held the hydrazaline. At 6 AM bp was 165/84...gave her the 100mg. The doc was furious with me for holding the midnight dose...said give it regardless of vital signs. I held it not knowing what her bp was...didn't want her to go hypotensive. He said its also given for HF not just for bp...I understand that but its effect is dilating vessels. What is everyone's tale on this? I'm trying to learn. Thank you, Carollynne

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