The nurse is preparing to administer dipivefrin (Propine) drops as a mydriatic agent. Which assessment would cause the nurse to withhold the drug and notify the provider?
a. Blood pressure of 140/90 mm Hg
b. Heart rate of 60 beats per minute
c. Respiratory rate of 12 breaths per minute
d. Temperature of 37.9° C
ANS: A
Dipivefrin is a prodrug of epinephrine and can cause systemic cardiovascular side effects such as tachycardia and hypertension. An elevated blood pressure warrants holding the drug and notifying the provider.
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