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What was the lowest diastolic bp you have seen?

Nurses   (110,703 Views 59 Comments)

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

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Do-over is a ASN, RN and specializes in CICU.

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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...

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LouisVRN is a RN and specializes in Med/Surg.

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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.

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MMARN is a BSN, RN and specializes in Cardiac/Telemetry.

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Turd Ferguson said:
0

They were dead

ROTFL!!!!

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

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turnforthenurse has 7 years experience as a MSN, NP and specializes in ER, progressive care.

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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.

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beckster_01 has 12 years experience as a BSN, RN and specializes in MICU.

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^^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.

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turnforthenurse has 7 years experience as a MSN, NP and specializes in ER, progressive care.

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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....

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AnonRNC specializes in NICU.

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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.

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tothepointeLVN has 3 years experience as a LVN and specializes in Hospice / Ambulatory Clinic.

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

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AnonRNC specializes in NICU.

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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!

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chrissieds has 1 years experience.

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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.

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sallyrnrrt is a ADN, RN and specializes in critical care, ER,ICU, CVSURG, CCU.

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

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