What should a nurse do for a client scheduled for ECT who normally takes an oral antihypertensive?

When a client is scheduled for electroconvulsive therapy (ECT), it is essential to consider the client's ongoing medication regimen, especially for those on antihypertensive medications. Administering the oral antihypertensive with a small sip of water is appropriate because it ensures that the client does not experience a sudden increase in blood pressure, which can occur if the medication is withheld. Maintaining blood pressure control is particularly important as changes in physiological status can happen during ECT treatment, and hypertension can pose additional risks.

Moreover, if the client usually takes the antihypertensive regularly, taking it on the day of ECT, even with a minimal amount of water, helps to promote the stability of blood pressure levels. It’s also important to consider the timing and method of administration; in many clinical protocols, oral medications may still be given on the day of the procedure if not contraindicated and if the client is not NPO (nothing by mouth) for an extended period.

This approach balances the need for effective blood pressure management with the procedural guidelines associated with ECT.