">Today I had a student I was teaching who had a BP of 188/124. What would you have done in this situation? She says she recently saw the doctor and had a normal B.P., but is having problems with anxiety and has been prescribed med for anxiety, which she hasn't started yet and doesn't have with her. Also that she's being treated now for UTI. She said she had no symptoms with her B.P. except for feeling anxious and flushed. I was alarmed, and suggested she go home and either go to urgent care or call her doctor, but she wanted to stay till the end of the day. She didn't want to get her B.P. taken again at all, because it made her more anxious to do that. At the end of the day, I told her if it were me I'd either go some place that could take my B.P. or call my doctor. And I hinted that it could lead to a stroke. Every time I brought up the subject, though, she said I was making the anxiety worse. What approach would you have used, and do you think it's something a phone call to the M.D. or a trip to urgent care could've taken care of?</span>
Quote from conscientiousnurse
And is this something I should've encouraged sending her to E.R. instead of just home?
The ER doesn't sound like a bad idea, but with that it depends on the competency of the ER doctor as to what he/she would do next. I don't mean that rude, but my wife (who has since been placed on hypertension medicine) passed out at work once and had a BP of 210/180 when the paramedics arrived. She was transported emergency status to the local ER where the doctor proceeded to try to explain to me and her that her high BP was only because she was in an ER. I never could explain to this moron that she had been transported BECAUSE OF the high BP. We ultimately had to request a different doctor and file a formal complaint with the hospital oversight board.
Anyway, I think you were right in having concern for her. I would also check with my school (and maybe the legal personnel at said school), and get their take on it. Some schools will not allow students who have an illness or a potential emergency problem to stay on campus if for no other reason than liability. You might want to explain to her also that you don't really want to have to teach the other students how to work with a stroke victim with her as the patient.
Last edit by ccso962 on Jan 25, '12
: Reason: corrected a sentence that made no sense