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2007-02-04 04:59:55 · 8 answers · asked by Valerie 6 in Health Diseases & Conditions Infectious Diseases

86 year old grandma in my care.

2007-02-04 05:08:51 · update #1

8 answers

The 76 is the systolic pressure, 46 is the diastolic pressure.

An Ideal difference between systolic and diastolic blood pressures might be 110/60. The difference of 30 you mentioned in your question sounds dangerously close to being diagnostic of SHOCK. Someone who has "fainted" might have these blood pressures. If this persists or if the pulse speeds up a lot, say to 110 beats per minute its more serious than "fainting" and the ambulance should be called.

The cause of this blood pressure and pulse rate could be a result of stimulation of the vagus nerve which slows heart rate and can reduce the "pulse pressure," i.e. the difference between the Systolic and Diastolic blood pressures. "Fainting" is a lay person's term for what caregivers usually refer to as a vaso-vagal reflex. If there is hypovolemic shock due to bleeding or transfer of fluids from the blood to the gut or peritoneal cavity, the heart rate will speed up and become weak.

2007-02-04 05:14:35 · answer #1 · answered by Art 3 · 0 0

This is very low blood pressure and a slightly low pulse rate. The pulse rate is close enough to normal that it really isn't a concern. A 'normal' BP for an adult is 120/80, and resting pulse around 72.

By themselves, the BP and pulse rate don't mean anything. The consequences depend on whether the person has always had low BP, whether it started all of the sudden or it comes and goes, or whether the person is experiencing any problems like dizziness, kidney malfunctions, or fatigue. Blood pressure this low can be a problem if it does not supply enough blood for organs to work properly. The kidneys and brain are the most sensitive to low blood pressure.

2007-02-04 05:15:27 · answer #2 · answered by formerly_bob 7 · 0 0

Pulse is okay but that blood pressure is way too low. Could mean a lot of things. Dehydration and blood loss are the most common, but in a shock situation the heart rate would be much higher. If this is your true blood pressure you need to get as much rest and fluids as you can for the rest of the weekend. When you get up make sure you get up slowly because it could drop even more an you pass out if you get up too fast. Then I would suggest seeing a doctor first thing Monday morning.

2007-02-04 05:06:46 · answer #3 · answered by icunurse85 7 · 0 0

Pulse of 66 is normal. Blood pressure of 76/46 is dangerously low -- like on the verge of circulatory collapse. If this is your blood pressure, see a doctor.

2007-02-04 05:07:55 · answer #4 · answered by citizen insane 5 · 0 0

Gramma's blood pressure is way too low. The pulse is on the low side as well. She may be dehydrated.

Try taking her blood pressure first when she is sitting and then again when she is standing up (have her stand up SLOWLY). If the reading is lower when she stands up she has orthostatic hypotension, which can either be caused by dehydration or maybe due to a medication she is taking.

You should really take her to her doctor...or the ER. This needs to be monitored closely.

2007-02-04 05:21:38 · answer #5 · answered by LolaCorolla 7 · 0 0

Her blood pressure is low. Her pulse rate is also low for that B.P. If she is taking a beta blocker such as Inderal, the dose needs to be reduced after consulting her physician.

2007-02-04 06:01:39 · answer #6 · answered by yakkydoc 6 · 0 0

It means the blood pressure is very low for that person. Very low,seek doctor's advice.

2007-02-04 05:05:18 · answer #7 · answered by fisherwoman 6 · 0 0

sounds normal to me.

2007-02-04 05:08:22 · answer #8 · answered by devil5557 3 · 0 1

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