Medication Station
Am I normal? (inside or outside of normal BP parameters)
Communcation is key
Nursing Knowledge
Following the Hypertension Pathway
100

Your patient's HR is currently 54. When determining how to treat her hypertension, this medication should be avoided

What is IV labetalol?

100

91/52

What is INSIDE normal BP parameters?
100

The communication technique that should be used with every provider communcation

What is SBAR?

100

These are common symptoms of pre-eclampsia

What is headache, visual disturbances, right upper quadrant pain? 

100

Your patient has a BP of 167/92, when should you next check their BP?

What is 15 minutes?

200

While administering IV labetalol for your patient's sustained SRBPs, your provider orders a Magnesium Sulfate infusion at this dose and rate

What is 4g loading dose followed by 2 g/hr continuous infusion?

200

136/111

What is OUTSIDE (SRBP) of normal BP parameters?

200
The S in SBAR stands for..

What is SITUATION?

200

Oh no! Your hypertensive patient begins to have a seizure- this is the best way to notify your team

What is Staff Emergency OR Duress button OR OBRRT?

200

Your patient with no IV access has sustained SRBP readings x2. After notifying the provider, they place orders and instruct you to follow the OB Severe Hypertension pathway starting with this medication.

What is PO Nifedipine?

300

20 minutes after an initial dose of 5mg IV hydralazine your patient's BP is 169/112. You give this dose/medication next

What is 10mg IV hydralazine

300

128/65

What is INSIDE normal BP parameters?

300

The B in SBAR stands for...

What is BACKGROUND?

300

A provider orders these labs to rule out pre-eclampsia

What is CBC, CMP, and urine protein to creatinine ratio
300

Your patient has a BP reading of 175/100, 15 minutes later their BP reading is 156/98. You notify the provider and provide excellent communication via SBAR. When do you next check your patient's BP?

What is 60 minutes?
400

20 minutes after an initial dose of 10mg PO Nifedipine, your patient's BP is 189/94. You give this dose/medication next

What is 20mg PO Nifedipine

400

188/102

What is OUTSIDE (SRBP) normal BP parameters?

400

The A in SBAR stands for...

What is ASSESSMENT?

400

Your patient has a history of chronic hypertension. Her current BP is 149/87. You update the patient on your plan of care

What is continue normal nursing assessment and care of the patient? (149/87 is an expected BP for a CHTN patient and orders should instruct RN to notify provider when BP is over 160/110)

400

Your patient with IV access has sustained SRBP readings x2. Your provider places orders and instructs you to follow the OB Severe Hypertension pathway starting with IV Hydralazine. When do you reassess their BP?

What is 20 minutes?

500

A patient with IV access, a history of asthma and a current HR of 48 requires immediate antihypertensive medication. This is your best option

What is 5mg IV Hydralazine?

500

139/90

What is OUTSIDE (MRBP) of normal BP parameters ?

500

The R in SBAR stands for...

What is RECOMMENDATION?

500
These 5 things are needed to take an accurate BP measurement of a patient

What is correct cuff size, supported arm at heart level, uncrossed legs, patient sitting quietly for 10-15 minutes, no talking during BP measurement?

500

Your patient with IV access and sustained SRBP readings x2 received 20mg IV labetalol 10 minutes ago. You recheck their BP now and find it is 164/111.This is your next step

What is administer 40mg IV labetalol?