Highest BP you have ever seen on a pt

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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 in and say that the BP on the home monitor was 280/110. It was 162/109 at the ER.

So what is the highest BP any of you have ever seen?

Depends on if the "renal patient" is on dialysis or refusing dialysis

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Tonight I got called to help set up BiPAP on a pt in fulminating cardiogenic pulmonary edema. He is unable to urinate and is not eligible for dialysis until tomorrow. When I entered his room, his monitor read 283/145(191). I didn't think it possible without CVA or other secondary comorbidity.

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Specializes in wards, recovery, icu..

I'm a brit nurse working in Neuro-ICU so I've managed to witness some terrible BP's! Highest 310/190 Lowest 55/30! Of course we were all running for Labeterlol infusions for the high BP and Noradrenaline already running at high doses with the low BP.......Gelofusine at pressure and added vasopressor of Dopamine.....both patients survived!:doh:

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Specializes in ER, Medsurg, LTAC.

Surprisingly, we get a lot of pts with VERY high BPs in the ER where I just started. Most just let their Rx's run out, a few days, weeks, etc., ago. 260/140, 189/130

Just a note on BP- I was pregnant with my first child and went to the clinic to start my visits and the nursing student taking my BP tries several times to get my BP and HR then scares the willies out of me by fetching his instructor. The instructor takes my BP and its 58/34 and my HR is 50 and the all important questions are: Are you active? How do you feel? I felt great and I was very active. The instructor explained to me and the student that this was a good thing. Too bad I'm not that active anymore ;)

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Specializes in Emergency.

280/198 HR 140ish pt went about 280-290#, actually gave this pt nitroglycerin IV wide open- bolused a total of 125-150 ml of it before it and the 200mg of Lasix we gave him kicked in to help his foamating CHF.

Rj

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Specializes in SICU, EMS, Home Health, School Nursing.

Hm... no idea what my highest would be, somewhere in the 200s. Lowest though was 30 by dopplar and the pt was maxed on dopamine, levophed, and neosynephrine.

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Specializes in ER, Long Term Care, Asst Living.

240/210 on a patient I had in the field while I was working EMS back in 1997.

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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 in and say that the BP on the home monitor was 280/110. It was 162/109 at the ER.

So what is the highest BP any of you have ever seen?

had an oddest b/p one time -- had 3 nurses and my administrator check it and all got similiar readings - it was 212 / 36 - weird -

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Received report from the previous shift that the residents B/P is 257/110 on a new admission, no the meds have not been rec'd from the pharmacy and no we did not call the MD. Yes the B/P was checked and found to be 260/110 and yes the doctor was made aware and the order to give Lopressor was carried out. And yes that Nurse was sharply inserviced by this writer.

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Highest BP: 277/224 (My mother in law during adrenal crisis)

Lowest BP: 20 systolic (pt fresh in from EMS - came in "nonemergent" :rolleyes: )

Highest blood sugar: 1900 (my case-study for nursing school - Dx HHNK)

Lowest blood sugar: 8 (and the patient lived!)

How about highest potassium?

For me it was a 50-something-year-old lady with no Hx of dialysis that suddenly became "paralyzed." Her potassium was 9.9 - nonhemolyzed!!!! :eek: She was cured by immediate insertion of a quinton cath and dialysis!

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Specializes in Med/Surg.

We had a pt come in last week with K+ of 8.8

Highest BP I've taken was 262/128 on a pt withdrawing from heroin.

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I'm a cardiology NP and we often see patient's come in with BP's of 210/120 and as long as they are asymptomatic we don't get crazy. We treat and street with education and follow up directions. Also after wroking in the ED for many, many, many years whenever a machine tells me that the BP is either high or low I use the old machine (my ears). As for the patient's that come in telling me that their BP at home was high or low I take it for grranted based on use of the machine, patient muscle movement etc.. I usually have them bring the machine in and show me how they use it.

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