So I just need to talk about it cause I've been miserable the last day. Try to quickly explain what happened... I work in long term care and had a resident that had problems with very high B/P like 200/100. Finally got it to stay around 160-170/80-90 which is still high but that was his norm and we knew he was basically a ticking time bomb. Well 30 min before the end of my shift I went to give him his meds and realized he just was acting a bit strange/clammy and he had mucus on his shirt and so I checked his vitals and he didn't have a temp...normal pulse but his BP was very low for him 97/58 so I called on call doc and just explained exactly what I saw and told them about him having mucus on his shirt and saying he didn't feel well and I also mentioned his BP being a lot lower than his norm and she ordered labs, X-ray, meds & to monitor vitals. He was awake and talking when I left. Found out that he passed 4 hours later and it's believed that he had a aortic aneurysm. He was a full code and when they transferred him onto gurney that his stomach was very distended. I just wonder what if I had insisted that he go to hospital when I called maybe he could have had surgery if it was an aneurysm & survived (even though he had a bad heart). I just feel like a ****** nurse and just plain dumb like I should have done things differently. My CNA's try to comfort me that they were just glad I gave him my time and actually called the DR when some would have just blown it off. Idk I guess I just want to know what someone else thinks.