Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

What would you have done??

from sun0408 user_online.gif female.gif sc.png

registered user information.gif page_edit.gif email.gif add.png search.gif

years exp: not enough

join date: jun 2010

posts: 269

i have a quick question before i go to bed.. i worked a long 12 hour shift last night, short staffed in a icu.. i had a pt on a nipride gtt for bp control. she/he was also ordered 600mg labetalol tid.. bp was controlled over several hours so the gtt was turned down to 0.5mcg.. at about 5am hr went from 80's to 40's and 50's.. next dose of labetalol was due at 6am.. i held the labetalol and increased gtt to get hr back up.. oncoming shift came on and agreed, md rounds early so we were both waiting for him.. he was upset stating we should have stopped the gtt and gave the labetalol along with clonidine 0.3mg.. bp at that time was 114/75 hr 69 with the gtt running... what would you have done??

hx: htn, dsd..

urine output was good..

  • Quote

    • Featured Replies

    As silly as it is, this is why I call the doc when holding meds (aside from stool softeners!). You never know if they'll agree with your judgment. Most of the time they will, but CYA as they say.

  • Quote

    who the heck still uses nipride?

  • Quote

    I still would have held the meds. Does the Dr want the patient to go into arrest by the morning? If your colleagues agree, and we are educated people, then I don't get the big deal.

    Re:badness: we use Nipride every day here for our CABG's. Crazy. I hate it. And they stick it through syringe drivers, which is great when changing the syringe over. Huge BP swings.

  • Quote
    who the heck still uses nipride?

    It's mostly used in the peri-surgical CV population as it's much easier/quicker to titrate than Cardene is during a procedure.

  • Quote

    I would have held the labetolol for HR in the 40's. And asked for parameters for labetolol orders. Most Dr don't want it given if less than 60 or 55. The Dr could have used a whole list of meds to replace the beta-blocker..or lowered the dose and added hydralazine or something.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.