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 ICU.
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.

I had a pt like this once also, although not S/P CABG. When I took over as his nurse, he was on a Nipride gtt. The Nipride wasn't really controlling his HTN, but he was barely able to follow commands when I assessed him. It was my first experience with Nipride toxicity. Got the order to stop the gtt and restart his home meds. I think the lowest pressure I ever got on him was 180 systolic.

:paw:

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Specializes in pulm/cardiology pcu, surgical onc.
I'm surprised my patient doesnt have K+ordered.

Why would you give a renal patient K+? Is your patient following a renal diet?

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Specializes in Psych.

I personally am on 4, atenolol, HCTZ, amlodipine, and olmesartan annd I'm only 30, not overweight, kidneys fine, etc.

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I'm surprised my patient doesnt have K+ordered.

If she's a candidate for dialysis I'd be surprised (and very concerned) if she was on a K+ supplement.

I have a client on BID or TID doses of Imdur XR, metoprolol, Losartan, Doxazosin, Felodipine, reserpine and Carvedilol.

All for HTN, no diuretics- fluid retention isn't an issue.

His BPs run in the 160/80 range (yes, he's compliant).

About once a year he'll have what looks like TIA and ends up in the hospital.

Inevitably some hospitalist will get the bright idea to streamline his regime and he winds up in ICU with chest pain and sustained BPs of 240/100. They put him back on his intricate regime of drugs and his BPs return to baseline.

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Specializes in pulm/cardiology pcu, surgical onc.

I had a pt once who had an bilat adrenalectomy in hopes of controlling his BP. He took 4 different bp meds, exercised, was not overweight and followed a low sodium diet and BP was never under 180/90. Post op he was running 160/80 without meds and he was pretty happy about that.

I couldn't imagine having to stick with a medication regimen that is medically necessary as I can't even remember to take a daily vitamin.

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