What was the lowest diastolic bp you have seen?

Nurses General Nursing

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Hello,

Before posting this I tried searching google and allnurses forums but I wasn't able to find answers to my questions so I hope you guys can help! (What happened to the search function anyway, or did I go blind?)

2 questions:

1) I recently had a pt with BP of 124/48. She was fine, no concerns. However, I haven't seen a dbp that low and asked a fellow nurse when dpb would be considered too low and something to contact the doc about and she said she didn't know and to judge it by how the pt was doing.

I didn't pursue the question because we were pretty busy, the pt was fine, and I wanted to do some research later on.

I know that we should be considered if the sbp is below 80 or sometimes 90 depending on the pt - is there some kind of parameter for the dbp?

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

Thanks!

Specializes in CICU.
pockunit said:
Not a BP, but I met a pt with an EF of 2% yesterday. TWO. Walkie-talkie, pink as could be. You'd never guess it to look at her.

Amazing she had the wind to walk and talk!

Picked up a patient once that had arrested that day (pre-hospital), EF was "

He looked terrible, but was a lovely gentleman, died a couple weeks later. Couldn't believe he even survived the arrest...

Specializes in Med/Surg.
canesdukegirl said:
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.

Yeah lowest I've seen was 34/16 on a med surg unit because pt was dnr. Pt had adrenal insufficiency and was s/p fall with brain bleed she wasn't ambulatory but was A&O x3

When I was having an epidural with my first son my bp dropped from 200/110 I had PIH to 80/30 I felt horrible and promptly threw up.

Specializes in Cardiac/Telemetry.
Turd Ferguson said:
0

They were dead

ROTFL!!!!

A&ox3 pt with dbp of 43. Asymptomatic. We went on with our day as usual. ?

Specializes in ER, progressive care.
pockunit said:
Not a BP, but I met a pt with an EF of 2% yesterday. TWO. Walkie-talkie, pink as could be. You'd never guess it to look at her.

wow! The lowest EF I have seen was 15% in a walkie-talkie pink as can be patient.

Specializes in I/DD.

^^That is crazy! 2%? The lowest I've had was %10 and he wasn't even one of our cardiac patients...although he probably should have been.

Specializes in ER, progressive care.

Last night my patient had a BP of 42/29. And still completely alert and talking with me! Stated they were just tired (because it was 0400 and poor thing, we were in there A LOT waking them up throughout the night) and when their heart bradyed down to 38 for a moment they stated they were just "a little" dizzy. Drew some labs, did some fluid resuscitation and BP was much better afterwards.

Patient came in with hyperkalemia and got a total of 30g kayexalate. 91 year-old. Despite maintenance fluids, I guess pooping up a storm still caused their pressure to drop....

Specializes in NICU.

What is EF?

The lowest diastolic pressure I've seen was 7, measured via arterial line transducer.

...iin a severely premature 1-pound neonate in the midst of a bradycardic spell. I think the MAP was 12 - about 1/2 of the bare-minimum-acceptable MAP for him.

Specializes in Hospice / Ambulatory Clinic.

EF = Ejection Fraction. Lowest I've seen was 10% too. Hospice patient though that just kept on trucking with the little he did have.

Specializes in NICU.
tothepointeLVN said:
EF = Ejection Fraction. Lowest I've seen was 10% too. Hospice patient though that just kept on trucking with the little he did have.

Thanks!

Many moons ago in the U.K. we had a girl admitted to resus in a terrible way. I was a young nurse, newly qualified. She had ingested approx 7500mg of Prothiaden/Dothiepin - a tricyclic AD about 10 hrs previously. Her lowest BP reading was 50/10. We really didn't think she'd make it. She did, with no brain or internal organ damage. Left intensive care 5 days later for admission to psych ward. I find myself thinking about her case. The angels (nurses and doctors included) were with her that day.

Specializes in critical care, ER,ICU, CVSURG, CCU.

Zero also, in clinic, hydrated, and ambulatory after fluid replacement......

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