Highest BP you have ever seen on a pt - page 7

Hello, I am new to all nurses as a poster. Have been looking at posts for a year or so. Anyway, my coworkers and I were having a disscussion of the highest BP we have ever seen. We had a pt come... Read More

  1. by   nancykday
    I was pregnant with my 1st child in 1977, I was 23 y/o and developed pre-eclampsia at 7months. Was admitted to hospital with BP 140/92 foe 2 days of observation. Long story short, stayed in hospital for total of 2 weeks, BP topped out at 270/196, labor was induced, and my daughter was fine. Never had a h/a or any s/s.
  2. by   icunurse42066
    I know that no one will believe me,

    Lowest B/P= 40/0 (I swear it beat all the way down!! Pt died)
    Highest B/P= 290's/160's
    Highest Glucose= 1500
    Lowest Glucose= 0 (yes 0, and that was on a lab draw!! And the pt lived!!!)
    Highest K+= 9.8
    Lowest K+= 1.6 (lived!!)

    How about the lowest ABG pH? 6.9!!
  3. by   frenchfroggyAPRN
    First week of clinicals in LPN school, did admission vitals of a HA couldn't hear B/P, pumped it up higher heard 280/140 !

    Two days ago manual 47/21, placed in Trendelenburg and fluids bolused, unsure if pt. lived.
    Last edit by frenchfroggyAPRN on Nov 20, '07
  4. by   kmoonshine
    275/156 manual. The automated cuff had read 289/190 at one point, but one of the doc's laughed, saying he never saw a diastolic of 190.
  5. by   nursemoons14
    Quote from dragonflyRN
    Just last night i had a patient that went from 130/70...to 85/60...before my shift started. On my check per the bp machine she was 65/41...asymptomatic, manual 76/48, NSR rate 68. I am a little pissed at the nurse I followed. Pt. was ordered a 250ml bolus of 0.9.
    250cc bolus isn't gonna touch that pressure, must have been a stingy resident order
  6. by   mmutk
    I *LOVE* IV cardene best antihypertensive made!
  7. by   nursemoons14
    Quote from icunurse42051
    I know that no one will believe me,

    Lowest B/P= 40/0 (I swear it beat all the way down!! Pt died)
    Highest B/P= 290's/160's
    Highest Glucose= 1500
    Lowest Glucose= 0 (yes 0, and that was on a lab draw!! And the pt lived!!!)
    Highest K+= 9.8
    Lowest K+= 1.6 (lived!!)

    How about the lowest ABG pH? 6.9!!
    we had a crazy case in our emerg the other day. young 22 year old female with ?DKA, speaking full sentances A&0 x3, pH of 6.79 which is not compatible with life... repeated and 6.75. somehow pt lived
  8. by   NEHuskerRN
    0/0 Dead!!
  9. by   Opinions matter
    Funny this topic has come up .Within the past 10 days I had a patient present , who had been referred by her optometrists.He had seen a new bleed in her eye and she was hypertensive by his BP machine.

    When my machine would not work in triage and kept alarming I went the old fashioned way and pulled out the stethoscope!

    I pumped up to 300mmhg and low and behold her pressure was already pounding in my ears. I rechecked on the other arm and the same.This patient was walking and talking. (goodness knows what kind of BP she normally walks around with!). So her systolic pressure had to be over 300 and I was hearing the diastolic at 180!

    I have never in 25 years of nursing had a pressure that high!

    Guess what? I left her as a category I and took her back for emergency treatment before she stroked and coded there in front of me.

    With some nitro and other meds I believe she did fine.We had to be careful not to bring her pressure down too fast for fear of secondary injury to her! But "wow" is all I can say! I have been around the block and this was a first!
  10. by   fusster
    I work tele, not ER, but about a month ago had 2 patients in a room together. Bed 1 had a BP that maxed out at 211/110, Bed 2 maxed out at 245/115. Gave a lot of labetolol and hydralazine that night.

    Lowest was 40's over 20's in a dying patient. Lowest in a living pt was something like 58/30.
    Last edit by fusster on Aug 6, '08
  11. by   Roy Fokker
    245/120 - manual

    Of course, his HR was 24.

    Bought himself a shiny new pace maker....

    cheers,
  12. by   rlgiv
    A few months back I had a pt we where giving TPA after a stroke. She bled out and died with a pressure that was 270's over 150's. She was completely alert and oriented when it happened and I was actually talking to her when it happened.
  13. by   Opinions matter
    That is why I left her as a cat I ( in the 5 system) I did not want to code her in triage!Thanks

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