Published Dec 2, 2010
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.
jossjjojo
38 Posts
Not all BP meds are prescribed to control the BP. Some are given for arrythmia's, tachycardia, and other cardiac conditions.
Meriwhen, ASN, BSN, MSN, RN
4 Articles; 7,907 Posts
My record is 5, and that's NOT counting the clonidine patch we slapped on for his detox symptoms. Every time this patient comes in, his BP is off of the chain.
April, RN, BSN, RN
1,008 Posts
Two different metoprolols?
casi, ASN, RN
2,063 Posts
I think it's been about 5. And whenever you went to give her her AM BP meds her BP was always 187/90 or something simular.
Little Panda RN, ASN, RN
816 Posts
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~
caliotter3
38,333 Posts
I'm on three myself, but one of them is not prescribed for BP at all. Lately, according to symptoms, I wonder really what should I be on? I guess that is why I have a referral to a cardiologist.
traumaRUs, MSN, APRN
88 Articles; 21,268 Posts
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.
TheCommuter, BSN, RN
102 Articles; 27,612 Posts
One of my recent patients (s/p CABG) was on Catapres, Lopressor, Altace, Norvasc, Hydrodiuril, and Apresoline routinely. Not PRNs. These meds were all routine.
etaoinshrdluRN
76 Posts
I recollect a pt. who took metoprolol, lisinopril, HCTZ, spironolactone and furosemide. And 10 huge blue capsules of K++ TID that made her poo emerald green.
I'm surprised my patient doesnt have K+ordered.