Need help from Dr.'s or Nurses out there.
I took a bp of 140/120, 30 mins before the patient was referred to the doctor . The Dr. then ranted on the absurdity of the bp that i got. So she checked it again and got 150/90. Then she let me check it again and I got the bp of 140/100. I got this by getting the first loud sound (systole) and last loud sound (diastole). She said that I should get the first and last sound. We were taught in school and practiced in community service that the bp should be the first loud sound and last loud sound we hear. BTW she ranted and scolded me in front of the patient and the wife. I'm a student nurse.
2007-02-11 18:56:27 · 4 answers · asked by aleondra_iris 2 in Health ➔ Other - Health
The Doc's got an attitude problem. I've had several BP's of 140/120 or thereabouts and it's quite possible.
Pump up until you no longer hear sound, and go maybe 10 or 20 past that to be sure...Let the pressure out until you hear the heart beat again - That's your systolic pressure.
Keep letting the pressure out until the sound stops - that's your dyastolic pressure. The sounds might be faint - not loud. Elderly or overweight patients can be challenging to hear the pulse on, and a noisy environment can be tough too.
Hope this helps!
Orion
2007-02-11 19:07:16 · answer #1 · answered by Orion 5 · 1⤊ 0⤋
140/120 is not an impossible blood pressure to obtain, but it is a higly unlikely one. The pulse pressure of 20mmHg is very small. To get a reduced pulse pressure like that, the patient must have VERY stiff arteries indeed!
Most people will have a pulse pressure around 40mmHg.
As you know, you should take an auscultatory blood pressure by inflating the cuff to well above the patient's palpatory systolic blood pressure and then by listening as the pressure in the cuff is released slowly. Record the pressures at which the korotkoff sounds (K-sounds) are first heard (the systolic BP) and then when they fade away (diastolic BP). In some patients, the k-sounds are present all the way down to very low pressures but if you listen carefully there is usually a change in the quality of the sound at the point where the diastolic BP is.
It was very unprofessional of her to scold you in front of the patient and the wife. I'm sorry that a colleague behaved unprofessionally.
I would have probably commented that the BP was unlikely and rechecked, then had a word in your ear afterwards or talked with your supervisor.
2007-02-11 19:04:21 · answer #2 · answered by Orinoco 7 · 2⤊ 0⤋
It is definitely possible if the apparatus is defective.dont blame ur self.try with a new apparatus.
2007-02-11 19:00:56 · answer #3 · answered by chiratai 2 · 0⤊ 0⤋
that STUPID ***** she thinks she's always superior....
like duh?????? even if i'm a pharma student we were taught to get a BP, 140/120 is still a possible bp.
just tell her to go to a med school. she's just insecure.
2007-02-11 19:25:34 · answer #4 · answered by Anonymous · 1⤊ 0⤋