Date of Doctor of Nursing Practice Project Completion
Summer 8-7-2026
Faculty Advisor
Dr. Debbie Cline
Abstract
Purpose: The purpose of this quality improvement intervention was to assess whether a structured home blood pressure (BP) monitoring program with weekly check-ins would help decrease hypotensive episodes and associated adverse events in patients who have lost weight after GLP-1 agonist initiation.
Background: This project was implemented in an outpatient multidisciplinary clinic in Houston Texas.
Methodology: A total of 13 patients were ask to monitor their BP daily and keep a log. Weekly telephone calls were conducted to monitor the patients and collect the data for a period of eight weeks. Weekly BP logs, hypotensive symptoms, and any antihypertensive medication changes were noted. Healthcare providers would be notified if patients had three or more systolic BP readings under 100. After the eight week period, descriptive statistics were used to analyze the data.
Results: There were n=13 participants, out of which three out of the 13 had antihypertensive medication reductions at the end of the eight week period. With two patients reporting hypotensive symptoms during weekly telephone calls.
Implications: Structured home BP monitoring may provide an accurate and cost-effective method to assess for early signs of decreasing blood pressure trends, giving providers actionable data to proactively adjust antihypertensive medications appropriately. Although this quality improvement project had a small sample size and limited implementation time, results show potential for increased patient safety. Future implementation cycles with a large sample size and a longer monitoring period would be recommended for a better understanding of the effectiveness of this intervention.
Keywords
GLP-1 agonist, hypotension, structured home blood pressure monitoring
Recommended Citation
Alexandrya M. Tran, "Prevention of Hypotensive Adverse Events Utilizing Structured Home Blood Pressure Monitoring in Patients on GLP-1 Agonists" (2026). Doctor of Nursing Practice Final Project Abstract. 204.
https://digitalcommons.library.tmc.edu/dnp_abstract/204