Highest BP you have ever seen on a pt - page 6
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
Jan 29, '07Occupation: Staff Nurse Specialty: SICU, EMS, Home Health, School Nursing ; Joined: Mar '05; Posts: 578; Likes: 251Hm... 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.
Jan 30, '07Specialty: 4 year(s) of experience in ER, Long Term Care, Asst Living ; Joined: Jan '07; Posts: 12; Likes: 1240/210 on a patient I had in the field while I was working EMS back in 1997.
Feb 19, '07Joined: Sep '05; Posts: 937; Likes: 136Quote from nckayakerhad an oddest b/p one time -- had 3 nurses and my administrator check it and all got similiar readings - it was 212 / 36 - weird -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?
May 12, '07Joined: Feb '07; Posts: 48; Likes: 14Received 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.
May 15, '07Joined: Apr '07; Posts: 31; Likes: 4Highest BP: 277/224 (My mother in law during adrenal crisis)
Lowest BP: 20 systolic (pt fresh in from EMS - came in "nonemergent" )
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!!!! She was cured by immediate insertion of a quinton cath and dialysis!
May 16, '07Occupation: CNA Specialty: Med/Surg ; Joined: Oct '06; Posts: 82; Likes: 3We 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.
May 22, '07Joined: Mar '06; Posts: 57; Likes: 6I'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.
May 22, '07Occupation: ED RN Specialty: LTAC, Telemetry, Thoracic Surgery, ED ; Joined: Dec '04; Posts: 508; Likes: 115I've only been a nurse for 9 months.....BP high 238/129 low 50/40
May 29, '07Occupation: ER RN Specialty: 7 year(s) of experience in ER ; Joined: Feb '06; Posts: 41; Likes: 20260/140, sub arachnoid bleed.
30/doppler septic shock. only pulse he had was a carotid doppler. respirations of 20!! not on a vent either. went to ICU from ER
May 29, '07Occupation: lady of leisure at moment Specialty: 10 year(s) of experience in ITU/Emergency ; Joined: Jan '06; Posts: 362; Likes: 192I work in ER so have seen lots of highs and lows but two of the most ineteresting where a high or 260/150 on a 20 year old male presenting with feeling 'slightly unwell, thought it was a hangover' and got newly diagnosed with ARF.
The lowest was really interesting....a 30something male came in peri-arrest with a bp of 60/palp (that was his highest reading) and a bradycardia but with a GCS of 14/15(eyes open to voice). He had no significant medical history and had been out in a club when he just collasped feeling unwell. When we took bloods from him, his blood was literally thick and brown and looked like chocolate. He was also totally cyanosed but his ABG showed a just below normal Po2. It turned out that he had drunk amylnitrate instead of snorting it as he thought it was GHB(liquid ecstacy). Anyway, he was diagosed with methaemoglobinaemia and after we gave methylene blue via a central line, he was admitted to ITU and was discharged from there the next morning! Really interesting case!
May 30, '07Joined: Apr '06; Posts: 2For me...
I transfred one pt. to another central hospital.... haemoptisis pt. ....
with 2 IV lines.... both of them were flowing fastly with Nomal Saline.....
however... in the middle of the road...the BP measuring machine was
reading the pt's BP..... I stunned when I saw the result..
IT WAS 283/132......
you never have to beleve me... but that what I saw..
Nov 8, '07Occupation: SICU RN Specialty: 2 year(s) of experience in SICU ; Joined: Jan '06; Posts: 118; Likes: 144Does it count if the pt. is herniating? I have seen some crazy ones... but then they drop so fast.
Nov 8, '07Occupation: RN in LTC Specialty: LTC ; Joined: Aug '07; Posts: 60; Likes: 23or the lowest hematocrit. a comment often heard in our er (and many others, i'm sure) was, "this isn't even compatible with life!"[/quote]
me after pp hemorrhage. h/h 3.6 and i think 22. long before i even thought about being a nurse. no blood transfusion either, just sent me home when i made it to 5 something. :smackingf did receivee blood 6 weeks later after 2nd hemorrhage and hemoglobinn 7. the things i know now. wow.