Hypertensive urgency: BP 196/108 with a headache, in a resident with defined parameters — the antihypertensive administered per the order/parameters, the BP rechecked per protocol (196/108 → 172/96), the provider notified with the values, further orders received, and the responsible party notified; the resident monitored for target-organ symptoms (chest pain, neurologic change, visual change). Will reassess BP and symptoms; supports the Section N update. Skilled recognition, medication judgment, and monitoring required.
Model abnormal 2
Over-treatment / symptomatic hypotension: BP 96/56 with lightheadedness and a near-fall after the last antihypertensive dose — the next dose held per the parameters, the resident placed on fall precautions and reassessed, the provider notified with the values, and orders received (dose adjustment); orthostatics obtained. Will reassess; supports the Section N update. Skilled recognition of over-treatment and fall-risk management required.
