Highest BP you have ever seen on a pt

Specialties Emergency

Published

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?

Specializes in LTAC, Telemetry, Thoracic Surgery, ED.

I've only been a nurse for 9 months.....BP high 238/129 low 50/40

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Specializes in ER.

260/140, 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

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Specializes in ITU/Emergency.

I 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!

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For 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.. :uhoh3:

IT WAS 283/132......

dear reader.....

you never have to beleve me... but that what I saw..

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Specializes in SICU.

Does it count if the pt. is herniating? I have seen some crazy ones... but then they drop so fast.

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Specializes in LTC.

or the lowest hematocrit. a comment often heard in our er (and many others, i'm sure) was, "this isn't even compatible with life!"

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.:nono:

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Specializes in DIALYSIS, ICU/CCU, ONCOLOGY, CORRECTIONS.

I was pregnant with my 1st child in 1977, I was 23 y/o and developed pre-eclampsia at 7months. Was admitted to hospital with BP 140/92 foe 2 days of observation. Long story short, stayed in hospital for total of 2 weeks, BP topped out at 270/196, labor was induced, and my daughter was fine. Never had a h/a or any s/s.

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Specializes in neuro, critical care, open heart..

I know that no one will believe me,

Lowest B/P= 40/0 (I swear it beat all the way down!! Pt died)

Highest B/P= 290's/160's

Highest Glucose= 1500

Lowest Glucose= 0 (yes 0, and that was on a lab draw!! And the pt lived!!!)

Highest K+= 9.8

Lowest K+= 1.6 (lived!!)

How about the lowest ABG pH? 6.9!!

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Specializes in Family Practice Clinic.

First week of clinicals in LPN school, did admission vitals of a HA couldn't hear B/P, pumped it up higher heard 280/140 !

Two days ago manual 47/21, placed in Trendelenburg and fluids bolused, unsure if pt. lived.

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Specializes in Emergency.

275/156 manual. The automated cuff had read 289/190 at one point, but one of the doc's laughed, saying he never saw a diastolic of 190.

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Just last night i had a patient that went from 130/70...to 85/60...before my shift started. On my check per the bp machine she was 65/41...asymptomatic, manual 76/48, NSR rate 68. I am a little pissed at the nurse I followed. Pt. was ordered a 250ml bolus of 0.9.

250cc bolus isn't gonna touch that pressure, must have been a stingy resident order

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Specializes in Emergency Dept, ICU.

I *LOVE* IV cardene best antihypertensive made!

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