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An old patient having low blood pressure. Benazepril and norvasc given to control BP. What is the guideline for withholding BP medicines?

Hi, I m a Nursing and from New Jersey. I m in my second semester and we had our clinical at a hospital yesterday. My patient , a 92 year old woman with a repaired hip fracture had a blood pressure of 130/45 and was due for Benazipril and Norvasc . I checked her last reading from her med. record and it was 139/43 2 1/2 hours earlier. My patient (who was awake, alert, and oriented) said she was concerned about receiving her blood pressure medication because her diastolic pressure was so low. I agreed it was low and said I would talk to my Nursing professor before I came back with the meds in case the dose needs to be withheld or reduced. my Nursing instructor then told me to talk her into getting the medication. She said my job is to sell it to her. I then went to the patient s primary nurse and explained the situation to her. She contacted the Dr. who withheld the meds for the day and had us monitor her BP more frequently. My question is what is the guideline for withholding BP meds? I feel that if I had listened to my Nursing instructor the patient may have been in trouble.
Asked On : Sun, 22 Apr 2012
Answers:  1 Views:  77
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Orthopaedic Surgeon 's  Response
Thanks for writing to us.
An abnormally low blood pressure readings- specially the diastolic blood pressure lower than 60mm of hg needs the anti hypertensive medicines to be withheld. Lowered blood pressure can affect the blood circulation of the vital organs. You did take a right decision in the favor of patient.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal
Answered: Wed, 25 Apr 2012
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