The priority intervention for a client with epidural anesthesia whose blood pressure is 80/50 mm Hg is:
a. reposition to supine position.
b. administer ephedrine, 5 mg IV push.
c. maintain IV infusion rate at 150 mL/hr.
d. Notify anesthesia about maternal hypotension.
ANS: B
A significant blood pressure decrease is a drop to 100 mm Hg or lower systolic. If hypotension is significant, ephedrine is ordered to increase the blood pressure to normal values. The supine position will further decrease maternal blood pressure by compressing the major vessels. Maintaining the IV infusion rate will not return blood pressure to normal values as quickly as needed; immediate action needs to be taken, and notifying anesthesia would be time-consuming.
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