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Our facility just had an inservice with a pharmacist and the way he explained all the BP meds that some are on, is that there is a ceiling effect that some meds reach and they will not produce more of an effect than what is already achieved. This is when the doctor will prescribe an additional BP med to assist with achieving a normal BP. That is why some people are on so many.
Hope I explained this well enough to make sense~
I treat dialysis pts and many are on 5-6 meds for their BP. The pharmacist is correct. We start usually with a beta blocker, go on to a CCB, then an ACEI, then on to a nitrate or minoxidil as a last resort and we use big doses too.
My patient is a candidate for the dialysis.She has a real bad kidney failure but her blood cell count is low and they have to wait until it stabilizes and then she will have a fistula put in.
Blackheartednurse
1,216 Posts
I have a patient and she has at least 6 BP meds assigned to her and those are not small doses either.So what is the largest number of BP meds your patients were on?
Ps.Just to give you an idea my patient is on Lasix 80mg, Nifedipine (120mg),two metoprolol (diffferent doses) and 3 other BP meds.