What is the largest number of BP meds have you have ever seen?

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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.

Specializes in Cardiology.

Not all BP meds are prescribed to control the BP. Some are given for arrythmia's, tachycardia, and other cardiac conditions.

Specializes in Psych ICU, addictions.

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.

Two different metoprolols?

Specializes in LTC.

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.

Specializes in Assisted Living Nurse Manager.

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'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.

Specializes in Nephrology, Cardiology, ER, ICU.

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.

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.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

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.

Specializes in LTC, OB, psych.

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 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.

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