When to hold antihypertensive meds

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Specializes in ICU, OR, Med-surg, Cardiac, ED.

I know that holding BP meds depends on several factors such as ordered parameters, patient's status, med class and dosage, patient's VS readings, etc. But when does the DIASTOLIC reading come into play? I've been told that in most situations, BP meds would be held if SBP is

Specializes in Hospitalist Medicine.

Depends on the med. There are some that need to be held if DBP is less than 60. However, we usually look at the SBP & MAP to determine what we need to hold. Also, has the pt's BP been steady or has it been fluctuating? Is it trending downwards or upwards?

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