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Question about holding meds?

Med-Surg   (2,955 Views 6 Comments)
by Scarlettz Scarlettz (Member)

Scarlettz has 4 years experience and specializes in Med-Surg, Psychiatric.

6,786 Profile Views; 248 Posts

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I work in a mental health setting and I had a patient whose blood pressure was 89/something and the aide rechecked it and it was 91/something. There are no parameters in the order to say "Hold BP medication if SBP is

I guess my question is more of an ethical / legal question mainly. I know this will happen again and I just want feedback as to whether or not I went about this the right way? I followed the order but at the same time I worry that I was denying the patient of his right to take the medication. I usually ask patients if they are feeling dizzy, lightheaded when their BP is low, but I did not ask him this time. It is a low dosage of the BP medication. Of course it was explained to him while it was held. I just want to make sure I did the right thing for the patient - as I hope they will re-examine his meds with the other psych meds he is taking. WDYT?

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1 Article; 2,076 Posts; 22,051 Profile Views

Unless there are written parameters to hold, you should call the provider to inform of your concerns and then follow their recommendations. For some, a systolic of that is good. If they are not symptomatic that is fine. I would also encourage you to recheck at a certain time afterwards to see if there are any changes which may indicate administration of the medication.

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32 Posts; 1,598 Profile Views

I'd hold it. You can always give it on the next set. But yes, the proper answer is: get parameters.

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RetrieverGirl has 9 years experience as a BSN, RN and specializes in Med/surg tele, home health, travel.

213 Posts; 6,104 Profile Views

I usually hold it and recheck the BP and give it at a later time. If it's still low then I'll call. I typically do not like to hold beta blockers because cardiologists get a little ticked when nurses do that.

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Nurse_JackieVA has 13 years experience as a BSN, RN and specializes in CVICU, SchoolRN, MICU, PCU/IMU, ED.

86 Posts; 1,178 Profile Views

Without knowing what med we're talking about and what his BPs have been ranging; I would have held it then called to get parameters or waited for the MD to do their morning rounds and talked to them about it -with new set of vitals- & get parameters.

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233 Posts; 3,771 Profile Views

If this is acute care we sre talking about the pt has no right to take medication-you got an order to hold so you were covered. This would be like saying someone admitted for Xanax abuse had a right to take the 10mg 8 times a day that they took at home.

They have a right to refuse but not to demand unsafe or not ordered meds.

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