Emy@voke
Region: US
Tuesday 03 November 2026 02:24:55 GMT
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user6460050690326 :
Hold. Heart is trying to compensate for low pressure. If you give it it will drop the pressure even more and could cause heart to go into cardiogenic shock.
2026-11-03 05:47:44
25
Em :
Hold and call the provider/on-call. Ask what they recommend as well as recommend a fluid bolus if not CHF. The heart rate is compensating for the low pressures. They could be septic. But always call before giving in these situations. Also, I’m a baby nurse (7 months) so don’t come at me 😂😂😭😭
2026-11-03 07:09:23
39
C. John :
Give it. Bring the HR down, allow the ventricles to fill appropriately and increase the BP.
2026-11-03 04:04:22
96
Kristy :
Absolutely!! Diluted and slow push over 15-20 mins. Heart rate drops and BP rises. Done it many times
2026-11-03 03:48:43
43
Gary Lee / DRSENSAI :
ABSOLUTELY HOLD!
2026-11-03 04:54:05
31
KAY THE RN :
My hospital protocol would say hold it based on this blood pressure right here
2026-11-03 07:16:57
7
Omeda :
I’d HOLD and call the doc
2026-11-03 06:41:05
5
MandyMay :
Hold. All day. Fluids stat
2026-11-03 09:32:41
0
Kim Warner133 :
Hold and assess patient. Is patient hemorrhaging?
2026-11-03 09:21:23
0
al3xx870 :
Im gone call and inform the dr of the BP, HR, & dose to be given and then do as told by the dr
2026-11-03 06:09:57
19
Patriotic Honkers :
First of all, I’m holding that immediately and calling a provider for consult. Then imma document the hell out of what they say and tell me to do next.
2026-11-03 09:35:24
0
Margaret Budwiser :
Very scary that there are so many answers! 😱
2026-11-03 04:31:52
24
instarayyy :
I would give. But in small bumps. Not a straight IVP.
2026-11-03 09:28:55
0
Vinyl Lover 🩷 :
Not enough info to make that determination
2026-11-03 07:18:12
2
user7153850493742 :
Dumb question but the correct answer is definitely HOLD
2026-11-03 05:15:43
14
Brittany :
Verify with doctor but probably hold.
2026-11-03 03:20:49
16
Trev :
Need to rule out any contributing factor to the tachycardia. This could be a compensatory mechanism because of something and you might not want to interfere with that. Is the rhythm regular sinus tach or afib? If afib then I’m more likely to give the metoprolol in this situation.
2026-11-03 05:06:15
2
#SaltyRN :
administering a negative inotrope/chronotrope example: metoprolol can strip the ♥️of its compensatory rate, further drop blood pressure, impair coronary and organ perfusion, and trigger cardiovascular collapse..👣
2026-11-03 04:16:52
9
Liz Mai :
hold. heart rate compensating for low blood pressure. Notify MD.
2026-11-03 05:05:15
7
NotFound :
.. is no one else gonna look back at previous vitals and labs to ensure it isn't something else? the ones who say give it are scaring me. who is charge here? I wanna go ama
2026-11-03 09:25:13
2
supanewdle :
give it. then make sure to follow up with labetalol too. and for good measures, hydralazine. make sure it's all IV push.
2026-11-03 09:19:57
0
Emma Lee :
Not a nurse but had this at 100/65 HRT 121 with autoimmune and I don’t wish that on anyone. Scary AF watching the ER staff rush in and try to figure it out. I don’t know what my stats were after I just know it got fuzzy and my shoulder hurt.
2026-11-03 08:20:40
0
V :
Needs more information but I wouldn’t give it unless the doc’s gonna be there at bedside with me
2026-11-03 06:54:54
1
Twin Moons :
What’s the MAP?
2026-11-03 05:00:12
4
DebMisquez :
Not a nurse, but yes, metoprolol will help regulate the hrt, and the fluids should help the bp. My grandmother had a stroke, we definitely had to watch the balance of bp vs hrt
2026-11-03 08:25:20
1
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