What should be assessed frequently in patients with a history of hypertension in PACU?

• A. Fluid intake and output
• B. Blood pressure stability
• C. Heart rate variability
• D. Respiratory effort

Answer: (B)

In patients with a history of hypertension in the PACU, the stability of blood pressure is crucial to assess frequently. These patients are at a heightened risk for post-operative complications such as hypertensive crises and cardiovascular events. Monitoring blood pressure allows for the identification of any significant fluctuations that may require immediate intervention.

Hypertension can be exacerbated by pain, anxiety, and fluid shifts following surgery, thus making consistent blood pressure measurements vital. By assessing blood pressure stability, healthcare professionals can manage any necessary interventions promptly, ensuring the patient remains stable during the recovery process.

Fluid intake and output, heart rate variability, and respiratory effort are also important assessments in PACU, but monitoring blood pressure directly addresses the specific risks associated with a history of hypertension and is essential for prompt treatment if the blood pressure becomes unstable.