What is the highest BP reading you've ever recorded in a patient?

  1. 0 i was recently surfing the web and found a guy in japan claiming that he recorded a bp of 242/145 in a patient.

    is such a reading even possible?

    i'm curious to hear if anyone in this community remembers what the highest bp they've ever recorded was?

    thanks in advance!:wink2:

    ross51
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  3. Visit  Ross51} profile page

    About Ross51

    Joined Dec '08; Posts: 1.

    54 Comments so far...

  4. Visit  09S=BSN} profile page
    0
    I hit something like 220/150 once.

    Oh, you better believe I got the nurse after re-checking it. (I am not yet a nurse myself.)
  5. Visit  pink85} profile page
    1
    Yes. Such a reading is possible. I work cardiac critical care and have seen it many times... unfortunately....
    April, RN likes this.
  6. Visit  mcs1505} profile page
    0
    Quote from ross51
    is such a reading even possible?
    i'm assuming you mean at rest? i've heard of it on the floor where i'm doing clinicals but i've never personally seen it (i haven't seen a whole lot yet, though).

    here's an interesting article on hypertensive crisis http://findarticles.com/p/articles/m...09/ai_n8956074
  7. Visit  niali} profile page
    0
    My ex was diagnosed with malignant high blood pressure and his would
    be 220 or 240 over 140.
  8. Visit  Farmer Jane} profile page
    0
    280s over 180s. It wasn't a patient, though. It was my father.
  9. Visit  MBA2RN} profile page
    0
    I once had a patient with BP averaging 230/160. She was 48yo, morbidly obese, diabetic, drinker, 3pk/day smoker and had suffered at 3 CVAs in the last 6 months. Orders were to keep her systolic above 200 to deter another CVA. Saw her SBP as high as 280.
  10. Visit  soulofme} profile page
    2
    Oh yea...dialysis pts
    mystic33 and Valerie Salva like this.
  11. Visit  Lovely_RN} profile page
    0
    Did she live?

    Quote from MBA2RN
    I once had a patient with BP averaging 230/160. She was 48yo, morbidly obese, diabetic, drinker, 3pk/day smoker and had suffered at 3 CVAs in the last 6 months. Orders were to keep her systolic above 200 to deter another CVA. Saw her SBP as high as 280.
  12. Visit  sissiesmama} profile page
    0
    As a nurse, I have not seen one that high. But, as a patient dx with HTN about 2 yrs ago, my BP hit 250/150. I was also in bigeminy and tied up a trauma room for a GOOD while.

    Anne, RNC
  13. Visit  mom and nurse} profile page
    0
    252/159 BP as recorded by ER nurse for patient who had a stroke and lived.... (with serious cognitive deficits....)
  14. Visit  cappuccino} profile page
    0
    I just had a patient with a b/p of 212/136. Totally asymptomatic.
  15. Visit  Shenanigans} profile page
    0
    When I was a student I got a reading of 210/100 on a guy post TKR. I was sure I had done it wrong so got the RN to do it.

    I had done it wrong.

    It was actually 280/80.

    The amazing thing the guy seemed absolutely fine, and he self corrected after 5 minutes - just as the doctors came racing through the door from the emergency response team!


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