our patient has an epidural infusing hydromorphone (Dilaudid®) with bupivacaine (Marcaine®) at 6mL/hr continuously. At the beginning of your shift their blood pressure was 92/58 and heart rate 68. You notice their prior blood pressures were around 130/70. What would you do FIRST? Notify the provider and recommend a bolus of 1 L normal saline.
[Solved]: our patient has an epidural infusing hydromorphone…
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