If this was your patient what would you do?

Published

Hi

i was on placement. I took a patients obs all but blood pressure was normal.

He he felt cold but had a temperature was 36.5

however his blood pressure was systolic 199 diastolic 70

the blood pressure was normally high at 160 170 systolic and diastolic not much difference.

what would you have done. The patients nurse just bleeped for the doctor to come see him. Think that was good but what would you have done?

Thanks

Well I have never seen uk nurses use stethoscopes. I know in many places in the uk nurses just do not use stethoscopes to listen to chest or bowl movements. Not seen it once n my 2 weeks in a gastro ward

Specializes in Nurse Leader specializing in Labor & Delivery.

You're in a gastro ward and nobody listens to bowel sounds? How odd.

Also, when you have a BP that's outside parameters, you should double check it with a manual. Which would necessitate a stethoscope.

That patient had been sat down for a while. He was actually sitting talking to relatives. On no drips and appetite was ok nothing abnormal there

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Well I have never seen uk nurses use stethoscopes. I know in many places in the uk nurses just do not use stethoscopes to listen to chest or bowl movements. Not seen it once n my 2 weeks in a gastro ward
Waht do theydo? place thier ear on the stomach?

I'm confused.....

What exactly are you asking?

What are you looking for when using a stethoscope and listening to bowel sounds? I would say that doctors are more likely to listen to the. Here.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
What are you looking for when using a stethoscope and listening to bowel sounds? I would say that doctors are more likely to listen to the. Here.
I am still not sure what you are looking for....here in the US it is also the nurses reaponsibility to listen to the lungs heart and bowel sounds....which would be impossible without a stethoscope.

Each patient we do a head to toe assessment on each patient looking for variances or new findings it is apart of our assessment....and reporting any new findings to the MS

As far as this patient with the elevated B/P. There is not enough information available from you to say exactly what should or should not be done...calling and notifying the MD is an appropriate intervention.

There should be a forum rule to, at the very least, attempt to Google for 5 seconds and making an effort to do a tad bit of research before rolling a series of questions.

As all of the others have said, there needs to be more assessment done. Without knowing all of the details of the case, nobody can help you. Yes, of course, it's appropriate to call the provider for a BP that high unless you're on a stroke unit where they tend to want patient's BP's in that ballpark.

Was it wrong to just call the doctor? I have never ever seen uk nurses use a stethoscope by the way

Ok, that's just scarey. Anyways, yes, it's okay to call the doctor. The BP is high. However, a full head to toe assessment should be done because what happens after the nurse calls the MD...usually he/she is not right there in the middle of the action. The MD is going to ask the nurse a bunch of questions that she should already have the answers to, by doing a full head to toe assessment. Otherwise, the MD is going to tell the nurse to call them back once they've actually looked at the patient. I've seen this happen. It doesn't get the nurse a good reputation with the doctors by not having everything gathered prior to the phone call.

+ Join the Discussion