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?

Highest BP the other night 250/150, it was the night for brain bleeds, we had 3 in over the course of the night, none of which survived till dawn.

The lowest was 40/30, with a pulse of 170, she ended up being cardioverted under GA, got admitted to ccu, still dont know why, had no pmh, and only felt a bit dizzy prior, no other hx.

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my FIL has been "monitoring" his at home and finally called the Dr two weeks ago when it was roughly 220/160. Besides, the headaches were annoying.

His defense is that the high BP is all his Dr's fault because FIL called for a refill on his script on the Dr refused to extend it w/o seeing him for his annual appt... 6 months ago. I'm just glad my hubby inherited only a fraction of his stubborness and carelessness.

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Specializes in Med/Surge, Psych, LTC, Home Health.

Don't think that I personally have ever seen anything higher than maybe 230/110 on my Med Surge unit. Seen plenty of patients with 50's/30's; they were usually actively dying (hospice, terminal) patients.

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Hmm. I had a 96 year old CHF/pulmonary edema patient last week with a BP of 269/141 initially. After 60mg Lasix, 1" NTG to the chest, 2.5mg of Vasotec IV, 0.1mg Clonidine PO AND diuresing close to 1000cc, she was still 170/100. Basically I felt like we were throwing anything that was safe at her.

I guess I ought to have been thankful she HAD a BP, but still...

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Specializes in maybe L&D or NICU.

I had my son at 33 weeks due to severe eclampsia. About two weeks after I got out of the hospital, my mom had to call 911 because I began seizing again. When the paramedics got there my BP was 260/195. When they got me to the ER, it was still high at 256/177. When my son was born, in the OR it was 230/183 and that's the last one I remember before I had my seizures.

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Highest Ive seen was 280's/170's and the lowest was 43/20 something. I dont remember if that pt. died or not.

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Specializes in Med-Surg/Oncology/Telemetry/ICU.

240/110 in the ER=hypertensive crisis?

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That would probably be mine: 260/185. Sudden allergic reaction to remicade. And here I thought it was supposed to lower bp.

The lowest: 29/10 and the pt survived!

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Specializes in PACU, PICU, ICU, Peds, Education.

308/120 in an elderly lady in for a routine clinic visit. This was her usual BP! I was a student doing the VS checks. Had started inflating the cuff when I remembered to ask "do you know what your blood pressure usually runs?" while glancing at her record so as not to overinflate the cuff. That is when I heard the Kortikoff sounds during inflation around 150 and saw her previous BPs! No one in the clinic was surprised. It had been that high since several men had broken into this 80y/o woman's home and gang-raped her.

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Specializes in PICU, surgical post-op.

I love all the 50s/30s as lowest ever. Things are different in the world of the little people. And I don't even work NICU! Apparently, up there, as long as the MAP is above gestational age, you're good to go. (NICU nurses, is that true?)

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Specializes in LTC, assisted living, med-surg, psych.

The lowest pressure I've ever seen was in an ICU patient I once had, an 80-something man who dropped to 30/17. He survived.

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Had a patient this weekend.....30/19 maxed out on levo and dopamine. Didn't make it.

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