Hi everyone. I need some input. Today I was told I was getting an admit from the ED (no big deal). They had been hypotensive for over 3 hours after 2 boluses and by hypotensive I mean a Map of less than 58 (and ESRD). Would you question the patient coming to you with this low of a blood pressure or would you have just kept your mouth shut? I work on a PCU floor - but we don't do Levophed, etc. I asked the ED RN how we were to treat the hypotension since pt was ESRD and bolus wasn't going to be an option. They said MD is ok with patient coming up like this.... ultimately I was told that I should have just taken the patient and we will deal with it when it arrives... I'm so confused and got severely reprimanded for questioning this... I did not refuse to accept assignment - only wanted a viable way to treat BP. I am not a new nurse... more than a decade of experience, mostly ICU. What would you have done?