Highest BP you have ever seen on a pt

Specialties Emergency

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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?

Specializes in ER, ICU, Infusion, peds, informatics.

see lots of really low bps on people who are dying......we should proabably take the art lines out of the dnrs....

i'm not sure of the highest. had a renal patient who was carried in (by two people, in their arms) to the er fri night that was 282/palp......after the intubation (and the drugs that go with it). we had been unable to get a bp before he was tubed -- the monitor couldn't pick it up, and no one had time to do a manual pressure because he wasn't breathing effectivly (more imporatant things to do....)

had a full arrest come in to the er thanksgiving weekend. paramedics intubated/did compressions, but couldn't get a pulse (or a line). they gave drugs per ett, without success at the time.

we got a line, gave drugs, and eventually got a pulse.....only to lose it again a few minutes later (maybe 15 or so?)

once we got the pulse back a second time, we must have done something to "fix" him, because instead of being hypotensive, he was hypertensive. hung a diprivan drip, still didn't lower his bp. ended up haning a labatelol drip. he didn't make it more than a week.

first time i have ever had to hang a labatelol drip, rather than a dopamine drip, on a full code.

i talked to the icu nurse that had him the day he died. she said it had been a massive stroke (ya think?)

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Specializes in ER/SICU/Med-Surg/Ortho/Trauma/Flight.

230/150-highest subrachnoid hemmorhage died

60/palp- aortic dissection:uhoh3:

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Loved the earlier poster who remembered the date and the bp...1982!

Now we should have a thread with the highest blood alcohol levels of ER patients. We used to take bets when one would come in, especially if it was one of our regulars who we knew tolerated a LOT of alcohol.

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!"

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186/148, my husband. Off to the ER, thinking it was a hypertensive episode, nope, viral menigitis! Interesting 2 days at hospital! Lots of pain and nothing working. Goota love morphine

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Specializes in ER, CCU, DOU, L&D, PACU.

Have been managing a hypertensive patient on the DOU with an admit B/P of 265/128. Lots of Tridil and IV Lopressor later it is hanging it around 170/98. This patient is not renal.

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220/145- dialysis pt. after chemo.

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Specializes in FNP, Peds, Epilepsy, Mgt., Occ. Ed.

Too high to register on the mercury sphygmomanometer over 100-something. I don't remember the bottom number, I remember pumping the mercury all the way to the top and hearing it immediately.

CHF patient with pulmonary edema, sitting straight upright in bed with that "air hunger" expression on her face. A surgeon who had grown up next door to her had just happened to drop by to say "hello" and got her to the ICU.

She didn't make it.

I was a LPN student and have never forgotten it, nor the expression on her face. (About 1982 or so).

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Specializes in Med/Surg, LTC,Oncology,Orthopedics,Psych.

you may not believe it.. but this is true

my doc's office his nurse got 294/180 on me when I went in for a migraine ..... guess where I ended up.

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Specializes in none yet.

220/110

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Specializes in Neuro ICU and Med Surg.

Highest BP 310/240 with ART line and nothing working. Pt did survive. Lowest BP 40/20's just a few days ago. Neo drip hung. Pt passed away last night.

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Specializes in Spinal Rehab (2yr), neuro,currently ICU.

on a dysreflexic spinal pt who 280/170 (he had a kidney stone), not uncommon for him, one time during bowel care 250/140, kinked SPC 200 over something. same pt has generally low BP(90/60) due to level of SCI ( and we use manual Sphygs only)

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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?

Over 300 systolic on an arterial line... got to 300 then just said +++ (obviously the transducer won't read anything above that!). Don't know what it was on manual, we were kinda busy at that point!

Tried every drug we have in ICU to bring his BP down, were just about to give him propofol when it dropped to a relatively low 220 systolic!

Although not really surprising when you consider that he's been admitted with a cerebral haemorrhage from..... hypertension!!!

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