Highest BP you have ever seen on a pt

[nckayaker]

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?

[nursemoons14]

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!!

we had a crazy case in our emerg the other day. young 22 year old female with ?DKA, speaking full sentances A&0 x3, pH of 6.79 which is not compatible with life... repeated and 6.75. somehow pt lived

[NEHuskerRN]

:no:0/0 Dead!!

[Opinions matter]

Funny this topic has come up .Within the past 10 days I had a patient present , who had been referred by her optometrists.He had seen a new bleed in her eye and she was hypertensive by his BP machine.

When my machine would not work in triage and kept alarming I went the old fashioned way and pulled out the stethoscope!

I pumped up to 300mmhg and low and behold her pressure was already pounding in my ears. I rechecked on the other arm and the same.This patient was walking and talking. (goodness knows what kind of BP she normally walks around with!). So her systolic pressure had to be over 300 and I was hearing the diastolic at 180!

I have never in 25 years of nursing had a pressure that high!

Guess what? I left her as a category I and took her back for emergency treatment before she stroked and coded there in front of me.

With some nitro and other meds I believe she did fine.We had to be careful not to bring her pressure down too fast for fear of secondary injury to her! But "wow" is all I can say! I have been around the block and this was a first!

[fusster]

I work tele, not ER, but about a month ago had 2 patients in a room together. Bed 1 had a BP that maxed out at 211/110, Bed 2 maxed out at 245/115. Gave a lot of labetolol and hydralazine that night.

Lowest was 40's over 20's in a dying patient. Lowest in a living pt was something like 58/30.

[Roy Fokker, BSN, RN]

245/120 - manual

Of course, his HR was 24.

Bought himself a shiny new pace maker....

cheers,

[rlgiv]

A few months back I had a pt we where giving TPA after a stroke. She bled out and died with a pressure that was 270's over 150's. She was completely alert and oriented when it happened and I was actually talking to her when it happened.

[Opinions matter]

That is why I left her as a cat I ( in the 5 system) I did not want to code her in triage!Thanks

[kmoonshine, RN]

A few months back I had a pt we where giving TPA after a stroke. She bled out and died with a pressure that was 270's over 150's. She was completely alert and oriented when it happened and I was actually talking to her when it happened.

If you don't mind me asking - why wasn't her BP treated prior to TPA use? I thought TPA was generally contraindicated in patients with a BP >185/110...

[potatomasher]

The highest BP I've read from a patient was 210/130... :S

[emtb2rn, BSN, RN, EMT-B]

While checking the monitor bank the other day saw 269/101. Not mine, other side of the ED, so don't know the story.

[msaaaz]

250/140 last year

[Christy1019, ASN, RN]

a week ago i was in resus and prelim brought back a lady who walked in then passed out and coded, dialysis pt, don't know the total history but after we stablized her and she went to cat 1 she went up to 340/210 after a few rounds of labetalol! i heard they brought it down to 280/140, i didn't even know a bp that high was possible!