So Im not sure how everyone else's protocol reads, but for HEMS in SE Michigan it says that Lasix is post radio. Before I go further, I am an idiot and didnt realize that it had changed from the last issue of our books from pre to post. With that being said, I was torn a new one by the med director for giving 40 of lasix pre radio (which is the proper dose here). The guy was unresponsive at home, glucose was about 170, no opiates, barbs or meds of any kind and had a BP of 250/140. No history or signs of CVA/TIA, cardiac history, he had mild hypertension (not medicated) with a usual of 140/90-ish. Literally the only thing that was wrong with this person was his sky high BP. Do you think that this was an appropriate move on my part? I mean protocol is there for a reason, but from what ive always been told, theyre more guidelines than concrete rules. adding to this, after I finished my report, i walked by to see how they were doing, and he was AOx3 with a BP of around 130/80.