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low platelets and measuring blood pressure



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Mar 04, 2009 12:57 AM

low platelets and measuring blood pressure


I am a student doing my Med-Surg rotation on a hem-onc floor. The standard practice there is to do manual blood pressure measurments rather than using the automatic blood pressure devices, and I was told it was because of low platelets and bleeding/bruising risk. Is this evidence-based practice? It makes sense, but I am looking for literature to support this for an assignment, and I can't seem to find any! Anyone have anything on this??

[As an aside, I hope to be an oncology nurse and feel very fortunate to be working on this floor!]


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4 Comments
No. 1
from iluvivt
Old Mar 04, 2009, 03:57 AM

Default Re: low platelets and measuring blood pressure
I would Google.....thrombocytopenia or thrombocytopenia purpura and nursing care and you should be able to find some general recommendations. I have TP and i can tell you when they use an automatic cuff or for that matter inflate the BP cuff up too high I get horrible petechia
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No. 2
from roseisrose
Old Mar 04, 2009, 09:52 AM

Default Re: low platelets and measuring blood pressure
Thanks iluvrvt for sharing your personal experience. Before I posted the original message, I googled all kinds of terms but not the terms you mentioned exactly so I'll try that. I understand what the guidelines are and why, but for my assignment I need literature references that support the practice.

Thanks
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No. 3
from scadams29
Old Mar 07, 2009, 08:22 AM

Default Re: low platelets and measuring blood pressure
Google has a scholar search. Put you keywords in this type of search and see what is returned.
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No. 4
from RN813
Old Jun 20, 2009, 08:53 PM

Default Re: low platelets and measuring blood pressure
We use automatic cuffs even with platelets below 20. Perhaps that facility has had a problem in the past. A lawsuit usually leads to change in practice.
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