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What was the lowest diastolic bp you have seen?

Nurses   (110,664 Views 59 Comments)

Florence NightinFAIL has 2 years experience and specializes in Medical - Surgical.

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Mandychelle79 has 2 years experience as a ASN, RN and specializes in Psych.

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my BP has been 60/40 before, felt like crap, ended up in the ICU for the night. I was in anaphlyatic shock from a bee sting.

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merlee has 36 years experience.

1,246 Posts; 13,447 Profile Views

I have seen very athletic people w/ bp 90's/40's, and heart rate 46-56 at rest. No problems.

For many years, I ran 100-110/50's without problems unless I jumped up from a lying position, and then my head would swoon momentarily. Also, I could not be the catcher on a softball team that I was on because I could not squat then jump up without getting dizzy.

Just yesterday, was 108/48 about 4 hours after my BP meds! I felt just fine.

As it has been said, it is all dependant on the entire picture.

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emtb2rn has 21 years experience as a BSN, RN, EMT-B and specializes in Emergency.

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40/14. s/p esophogeal varices blowing. 7 units of blood, levo, dopamine & to the unit. He lived.

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casi has 3 years experience as a ASN, RN and specializes in LTC.

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20's-30's.

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canesdukegirl has 14 years experience as a BSN, RN and specializes in Trauma Surgery, Nursing Management.

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Mine! I was exhausted for about a week, had orthostatic hypotension and felt like I was going to faint all the time. Finally dragged my sorry butt to the doc and my bp was 50/30, HR 43. Turns out I had adrenal insufficiency.

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GHGoonette is a BSN, RN and specializes in PACU, OR.

1,249 Posts; 24,489 Profile Views

Ok, I think 40/14 wins first prize....

I've had a BP of 135/35, once in my late teens; I wasn't feeling too good, but I was coming down with a viral infection at the time.

I routinely see post-anaesthesia patients with low BPs, and kiddies can show 70/30, but it shoots up when the patients wake up fully. I usually check the MAP, if it's stable over 60, I'm happy.

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murphyle has 4 years experience as a BSN, RN and specializes in Emergency, Critical Care (CEN, CCRN).

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...Yes, I've seen zeroes over zeroes before, and I recall one or two of them that we actually got back.  The 62/32 lady was the lowest that was still awake and oriented. She made it too, by the by. 

emtb2rn: I've heard horror stories about variceal bleeds, and other contemporaries of mine have had those patients; I just haven't had the luck (?) to be on caring for one. The worst hemorrhagic low I've seen was an 82/48, in a guy who'd been run over by a truck and had his leg basically pulped from mid-thigh to mid-calf. He got four liters of .9, eight units of PRBCs, four units of FFP, and one very fast chopper ride to the local Level I. Lost the leg, but lived.

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1 Follower; 6,980 Posts; 32,561 Profile Views

approaching 0 in the elderly is not uncommon, reduced elasticity in the arteries...

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Ruby Vee has 40 years experience as a BSN and specializes in CCU, SICU, CVSICU, Precepting & Teaching.

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turd ferguson said:
0

they were dead

0

 

they weren't dead . . . yet.

 

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JustaGypsy specializes in ER, SANE, Home Health, Forensic.

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I was 61/23 one time... Saw that just before I passed out. I had told my coworker in triage I am hot, I need to lie down and I think I'm going to puke as the BP monitor went off. Next thing I knew I was laying on a stretcher in the ER hallway...

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belgarion specializes in Med Surg.

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My XYL regularly posts a 60-70 over 30-35 after dialysis. She'll be sitting up talking, smiling, and completely asymptomatic. It drives the nurses and techs at the clinic absolutely crazy.

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Cohiba specializes in Nasty sammiches and Dilaudid.

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Florence NightinFAIL said:

2) What was the lowest dpb you have seen and how was the pt doing?

Thanks!

Systolic of 0--I've had a couple pt's have tied that number and they were all EXCEPTIONALLY stable...

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