Feeveer
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What are the non-invasive ways to measure the real BP of a patient with pseudo-hypertension? Between Aneroid, Mercurial and Digital Sphygmomanometers which are best to use? Would palpatory readings suffice?
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I am not sure. However I am inclined to think it really is Fluid Overload... Although I think there is also presence of arrythmia though I'm not sure... Is there something wrong with my assessment? I feel uneasy... I need help...
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Patient with Right Sided Heart Failure complaints of palpitation. Unknown amounts of fluid ingested. Foods high in Sodium were eaten, that with soups too. There is distention of neck vein. T:36.0 AX. BP: 140/70 PR: 132 RR: 20. Skin is cold to touch. Murmurs RSB 2nd ICS, LSB 2nd ICS, and LSB 4rth ICS, Grade 4 Blowing, Low pitched. No S3 or S4 noted. Presents with Oliguria and devoid of perspiration. No adventitious breathe sounds heard, respiration is quiet and unlabored. Last dose of Furosemide 20 mg (1/2 tab) taken last 8 am. Patient presents with anxiety. ECG tracing unavailable. What is happening? What should be done? Regards, Feeveer