Failure to Follow Medication Administration Parameters for Blood Pressure
Penalty
Summary
A deficiency was identified when a resident received Midodrine, a medication prescribed to treat orthostatic hypotension, in violation of the physician's order parameters. The order specified that the medication should be held if the resident's systolic blood pressure was above 130. Record review showed that the resident was administered Midodrine multiple times when their systolic blood pressure readings exceeded this threshold, with documented values ranging from 131 to 149. Staff interviews confirmed awareness of the medication parameters, with an LPN stating that the medication should not be given if the systolic blood pressure is greater than 130. Despite this, the medication was administered on several occasions outside of the prescribed parameters, as evidenced by the medication administration record and blood pressure documentation.