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 ER, PEDS, PICU, PUB HLTH AIR GRND TRNSP,.

On a pt with PIH she had Bp of 300/218 was in a coma and later arrested. We saved her newborn though.

Up Vote Up Vote ×

Mine was 88/42 HR 130, I was put in trendeleburg and got numerous IV boluses, at least 4. 30 hours later I weighed myself and had gained 13 #.

I do not know what was going on. That day I took 2 grams of Amoxicillen prior to getting my teeth cleaned. I take coumadin daily because of a mitral valve replacement nd history of Atrial fib. The cleaning was cancelled, no hygienist. That upset me because I do not like taking the ABX because of yeast, diarrhea, etc. I should have been called by the dental office. Anyway I drove myself home and started having chills in the car, then felt a little SOB. By the time I got home it was time to call the Paramedics. My temp was 102.9 and I went to the ER.

Up Vote Up Vote ×

280's systolic, not renal, art line reading, pt had health issues +anxiety issues+disaster. The lowest was when I saw 70/30 cuff pressure-that was a long night. Pt went into Afib, spiked a temp, decreased LOC. Pt left our unit from ICU to rehab. Hope she's doing well.

Up Vote Up Vote ×
Specializes in ICU, PICC Nurse, Nursing Supervisor.

Highest was 220/120m, this was me when I was in the hospital for PIH with my 3rd baby and I have seen so many low BP's while working in hospice it is hard to single one out.

Up Vote Up Vote ×

I once had a patient with a bp of 230/130. Gave him 30mg of Nifedipine. Checked it 30 minutes later - 60/palp!!!!! I about had a heart attack. He was nonresponsive, bradycardic, etc... It ended up that he had some type of disorder that we didn't know about which made his BPs very labile. He didn't stroke out, and he was discharged later that day. Thank god. :uhoh21:

Up Vote Up Vote ×
Now we should have a thread with the highest blood alcohol levels of ER patients.

when I worked at the Coroner's office we sometimes had people with blood alcohol's of 4.5 and higher...but they were the ones found the next morning, dead in their car still parked outside the bar

Up Vote Up Vote ×
Specializes in CMSRN.

Just today a fellow student was telling us about a clinical day where her BP jumped out of contol. It was 256/180 and her hr was 235 or so. Clinical instructor did an EKG and would not let her go back to cinicals without seeing a cardiologist. She was told she had supraventricular tachycardia. She is fairly young and her normal BP is 95/60 or some ridiculously low #.

Up Vote Up Vote ×
Specializes in ER, PEDS, PICU, PUB HLTH AIR GRND TRNSP,.

The lowest Bp i have seen would be on an art line 40/20 pt on pressors heading out the door in septic shock

Up Vote Up Vote ×
Specializes in ER, OR, Cardiac ICU.

310/180s...a twenty-something dude that ingested several GRAMS of meth at a traffic stop instead of getting arrested (which he almost did anyway- one arrest for another.) His heart rate was somewhere in the 200s- 18 of ativan in about 20 minutes didn't begin to peel him off the ceiling.

Best WALKING blood-alcohol was .454 (just like a Chevy engine- odd the things we remember). Best overall BAC was .641- tubed but with spontaneous resps. He left AMA 4 days later out of the unit. Go figure.

Up Vote Up Vote ×
Specializes in CCU.

On an ESRD patient in his left leg.....230/140. The nephrologist was an a*s of course....did not send him to the unit. Through the night after 0.7mg of Clonodine he finnally came down to the ultimate low BP of 200/100. The fun part about the whole story my other 6 patients were all renal patients all with the same nephrologist's group. I kept him up all night!!!!

Up Vote Up Vote ×
Specializes in Med/Surg; Psych; Tele.
On an ESRD patient in his left leg.....230/140. The nephrologist was an a*s of course....did not send him to the unit. Through the night after 0.7mg of Clonodine he finnally came down to the ultimate low BP of 200/100. The fun part about the whole story my other 6 patients were all renal patients all with the same nephrologist's group. I kept him up all night!!!!

Sorry, a little off subject here, but you just made me think of something...doncha just hate it when nurses or techs (who failed to tell you of an elevated BP) just kinda dismiss high BPs because "he's a renal pt". Really? Well no kidding that HTN kinda goes along with that - I guess we can just hasten his death by not worrying about it since it comes along with the territory?!? DUH!

Up Vote Up Vote ×
Specializes in Med/Surg; Psych; Tele.

And hey...what about the lowest blood sugar you've seen. I've seen 16 and the pt made it!

Up Vote Up Vote ×
+ Add a Comment