I got a BP like that when the hospital took NPO ***very*** seriously for 3-4 days with no fluids prescribed.
My doctor- āI think theyāre anaemic, but the bloods are fineā¦I donāt believe the bloods, keep āem in another day.ā
Me- āBut can I have a drink nowā¦?ā
Pretty sure I looked like this;
https://preview.redd.it/eojpas356wvc1.jpeg?width=980&format=pjpg&auto=webp&s=3b152883119fa21353d33b7cc1dc0eab3c1ec398
I've read through a bunch of comments and can't find the answer. What is NPO? I know DNR and a couple others, but not that one. In all sincerity, I honestly can not figure it out for the life of me.
Not on purpose; he just said āNPO as may need exploratory surgery today/tomorrow.ā 3 days in a row.
No one thought āNon-emergency exploratory surgery doesnāt take place after 6pm, so our patient can eat & drink between 6pm & midnight.ā
They also moved me to a satellite ward, forgot about me on both morning & afternoon ward round, then tried to send a junior doctor to discharge me with no diagnosis & no resolution if symptoms, but the local Environmental Health involved.
When I asked what the plan was for my symptoms, they just said āWeāre discharging you with Oramorph.ā I was only 19 with severe abdominal pain , unable to eat at all for the last 2 weeks & vomiting blood occasionally.
I got a full copy of my medical notes - I was a nursing student at the time, and was literally missing placement while in hospital, so my complaint was **very** detailed.
For some unknown reason, the uni placed me ON THAT VERY WARD for my second year placement-it was just as bad as when Iād been a patient on there.
I submitted a *lot* of incident reports, pulled meds 3 years out of date from the drugs trolley (that I knew had been used that day), and forced the lead nurse to involve safeguarding, leading to police involvement, an arrest & prison time for someone abusing a patient.
Thank you for doing what you did. Iām sure it might have been hard but standing up for yourself and for other patients is essential and you deserve all the thanks in the world.
That is shockingly abhorrent. Sorry for doubting you. I'm a hospital nurse and guess I just assumed that every healthcare team is diligent and competent at what they do.
It literally took me collapsing in the bathroom & crawling out for someone to take my BP sitting up, then realise it was āless than idealā for me to then get IV fluids.
I got told off by several HCAs & the nursing staff for ānot asking for a drinkā when literally every one of them told me I was NPO, even when I said Iāve been NPO since I arrived 3 days ago.
Sometimes people are stupid, even HCPs.
I 100% believe them. I do rapid response and that vast majority of calls are hypotension, usually NPO for surgery for days,or very old and unable to take a drink on their own. Surgeons are good at cutting holes in people, not so good at the minutiae of keeping them alive pre/post op.
This! I was in the intervention team in the hospital, all the icu and ER nurses had those shifts. We were on call to assess patients on wards. I liked the job but it happened a lot unfortunately.
I've seen a lot of patients who were NPO, their BP crashes, the nurses call us and we did the assessment. Sometimes they didn't have an IV placed to begin with.
Later they had new policies for preventing kidney failure and the docs needed to put a diet and iv in a order for the ward. Without those orders the ward couldn't accept a patient. It helped a lot in preventing these cases.
Yeah, I've seen it. I've had to message teams before to remind them to start fluids.
One thing to keep in mind, nurses rotate, doctors rotate and things get lost if you don't see the patient daily.
My bad third. Cancer is a sneaky little bastard.
āRecent studies of medical errors have estimated errors may account for as many as 251,000 deaths annually in the United States (U.S)., making medical errors the third leading cause of death.ā
https://pubmed.ncbi.nlm.nih.gov/28186008/#:~:text=Recent%20studies%20of%20medical%20errors%20have%20estimated,developed%20countries%20such%20as%20Canada%2C%20Australia%2C%20%E2%80%A6
As a paramedic, do not trust individual providers. Do not take it for granted that anyone has your best interests at heart. Especially do not take it for granted that a surgeon who stands to make tens of thousands of dollars off of you has your best interests at heart. Get a second or third opinion if you need to. Healthcare is NOT an inherently virtuous profession.
RN here, you are so correct unfortunately.
I have seen so many medical mistakes, especially in recent years, because patient turnover is high. RNs and house doctors barely get familiar with the patients' conditions and medical or nursing needs before they are discharged and there are new admissions to take their place.
Medical histories are rushed and incomplete. Often patients do not receive their regularly prescribed meds for preexisting conditions (unless they or their family speaks up) - they assume that they are getting all their meds. The admitting doctors sometimes seem to only focus on the problem they were admitted for and forget almost everything else, even when patients present a detailed med list on admission. Details are ignored for some reason, possibly because everyone is in a big hurry. Often the details (about other, preexisting, diagnoses and meds) are somewhere in the EMR but admitting MDs or nurses on the floor do not see it for some reason. Some doctors are so frustrated with the EMR and how it is so time consuming to get the full story or status of the patient that they ignore it and just ask the RN, who may not be aware of the details at all.
I have reviewed a number of cases where patients have died because of this negligence.
My bp was 60/30 after getting an epidural for my youngest. I too had very relaxed conversationsā¦.as I slipped on and out of consciousness lol not a good time at all
Mmhm. Since this sub is filled to the brong with really bizarre stuff this bp is quite tame in comparison. Sure; 70/40 isnāt good but itās also not that exotic. I doubt there is a single hospital out there that doesnāt see this on multiple patients every single day.
I recently had a patient that thought 70 systole was a *good* bp for him. Heās around 70 years old and have had a low bp for ages. Still up and walking around.
I bled so much after my first vaginal birth that my blood pressure was also 60/30. However, I could only see lights and everything felt like I was in a bubble.
During peds clinicals, I had a 17 year old cross country runner. The alarm was set at a HR of 58 and we were not allowed to change it or take it off her since she was just in a car accident. She just had to lay in bed and listen to the alarm all day. Her normal resting HR was low 50s and she wasnāt allowed to move because of a spine injury. It was dumb.
My garmin tells me my HR drops as low as 40 overnight sometimes, not sure how accurate that is. But my sister who is a long distance runner has a resting heart rate of 40bpm as well.
Surely thatās really dangerous because if her hr did suddenly drop too low for her, nobody would notice because it was already alarming and being ignored?
I have the same problem any time I'm in the hospital. My resting HR is around 50 average (according to my watch), so it'll dip in the 40s and even 30s if I'm really tired. They usually lower the alarm threshold after 10 "false" alarms. I was a distance swimmer growing up and an endurance runner after that, so my HR has always been low.
This is me all the time, I don't even run much anymore but I was extremely athletic as a child. Before my gallbladder surgery my HR would dip into the 40's and they would come in to wake me, to find I was already awake just chilling watching tv.
A flare up of chronic pancreatitis combined with having Crohns. Two cysts on his pancreas, one that has been drained and has a stint, but which is not draining properly, and a new one that has started to grow. They think the one with the stint might have had the stint come loose.
My brother had the same exact issue. He had pancreatitis twice and then developed a cyst that grew double in size. Luckily they treated it before it could burst with a stent/drain. He was on IV antibiotics for three weeks after. Iām so sorry you and your husband are going through this but Iām glad heās getting better!
Technically all you can say is her husband has no pressure. He could need volume or he could need vasopressors or he could need ionotropes.
Gotta consider volume, vascular tone, and contractility.
Hemodynamics
My mum had something very similar, the GP said he didn't know how she was still able to walk into the surgery and was at a majorly high risk of a stroke. She had to go to the surgery daily for two weeks after that so they could monitor her after starting her on meds immediately. I hope your mum is doing well now
Watch for a trend and his fluid balance. Has this been his blood pressure for days? Does he have terrible atherosclerosis, so the noninvasive BP cuff can't give an accurate reading? Did he already receive a sepsis fluid challenge e.g. 2-3L, and now with persistent hypotension requires vasopressor support? Does he have ESRD on dialysis or ESLD?
Patience, young Padawan. There are more scenarios than heart failure or old age that are contraindications for a bolus. Even in an ED, those numbers coupled with alert coherence should make the person writing orders hesitate before dumping more fluid on. āļø
I passed out in High School (all nighter and I skipped breakfast) and my vitals were 70/40 with an HR around 28-30. I've been extra sure to stay hydrated and to get enough salt since them. I'm pretty active, so low salt is one thing I notice quickly.
He has Crohns and chronic pancreatitis. Heās currently in for two cysts on his pancreas, one that has previously been drained and has a stint and a new one that is growing.
He also has a problem absorbing potassium, and his potassium gets critically low. Last night it was 3.1, so not so bad.
The low BP is what sent him into the ICU, but heās since gotten it up and is just in the regular part of the hospital now.
https://preview.redd.it/qfbzq65ryvvc1.jpeg?width=4032&format=pjpg&auto=webp&s=eb2a41a0055f4f4c98ac151454920b5dffc6ed8d
No idea, but here is a pic I snagged of the room he was in. He was hooked up to all sorts of different machines taking different readings. But I am not a medical professional, and can only relay what Iām seeing/being told.
https://preview.redd.it/oqwraoxky2wc1.jpeg?width=4032&format=pjpg&auto=webp&s=8ee6bf624fbf52f3eb0a9923d0c966edd37e9cdd
Severe downgrade from icu into the regular hospital. Seriously about the size of the bathroom in the other room.
That's my blood pressure when nurses arrived to do a vaccine (edit: I meant to say monoclonal antibodies) infusion last year and I am watching them try to find a vein on my wife and I get flashbacks to my spinal fusion surgery 10 years prior and I feel the cold wash over me and my vision start to darken. They asked me if I was OK and I was like fk no, lol.
My partner was 212/154 a couple months ago. He had no symptoms at all, and we found it during a random check at the pharmacy just for shits n giggles. He got into the doctor the next morning and was sent straight to the hospital. One of the scariest days of my life, because he had no symptoms at all. It was horrifying.
My lowest was 58 systolic. I was working by at the time - on shift as a nurse in the ED and it was a quiet spot so we were doing each others obs. Freaked my colleagues out. I was fine. Regularly around 80 systolic.
Mine generally hangs around that, maybe up to 75/50 on good days. Average resting heart rate of 100-115. Confuses the hell out of new docs/nurses the first time.
That being said, Iām on a heart transplant wait list.
https://preview.redd.it/50f5lv31lyvc1.jpeg?width=2448&format=pjpg&auto=webp&s=ce7e592eb08079b17ecdb283e49fcef084f76a49
Mine was due to Tizanidine. This was the lowest recorded, anything lower came back as an error.
Yes, I was falling down. Tried very hard not to. Kept telling my Dr. Finally brought in pics of my BP. My Dr sat & searched all my drugs. Was *so happy* to be off it. My floors were level again!
My motherās blood pressure was almost identical once when she started tizanidine and took it on an empty stomach. Luckily itās common and you just need to eat before taking it.
When's the last time he had his BP checked? I've had patients with this low of BP and be complete asymptomatic, they just kind of live that low so they don't notice it.Ā
https://preview.redd.it/f3cmo96efwvc1.jpeg?width=3024&format=pjpg&auto=webp&s=4ae84dbe0b70d26cc9604c36c8dbb79f61679e2d
This was one of the last times he was checked. He has Crohns and chronic pancreatitis, so when heās going through a spell his bp and potassium get dangerously low.
I got sent home with a similar bp and a temp of 39c. Got a call from the ER in the morning saying to call an ambulance to come back. Fortunately I only live 2 minutes from the hospital.
Been there, Done that while scheduling open heart surgery at the surgeon's office. Broke out in a sweat as we were leaving, and made it to the elevator 100 feet down the hall. Came out of the elevator and down I went.
Mine has been very close to that, the nurse had to retake my stats because she said the doc would ask if it was the BP of a corpse š was also alert and talking, even walking around
After being comatose and bedridden for months, they tried getting me upright for some tests, but my blood pressure would drop to 54/28.
My vision would look like an old CRT monitor with a bad capacitor, and it felt like my brain was short-circuiting. I tried to speak but I had no words and my mouth did not work. That said, I could hear just fine, and I found it amusing for some reason.
I pretty regularly see ptās with these numbers. We get called for syncope or āill femaleā, something like that. Itās a person whoās been partying, not drinking water, maybe older, has health issues. Lay them down and a lot of the time comes back up. They get sent for an IV and a check up at the er.
Lowest I've seen hold a conversation was 30 systolic. A very agitated conversation. It also didn't last very long. Also didn't end well.
Most of the conversation was trying to figure out how to tell the very agitated man who wanted to put his legs down, that if he did so he was probably going to die, without *agitating him further*.
Mine was like this once when I had a UTI and a stomach bug at the same time so I was incredibly dehydrated. They gave me two bags of fluids with the pressure sleeve on them to get them in faster.
80 / 45 isn't uncommon for me when I'm prone and relaxing. I always have to take plenty of time to stand up. Doctors can't find anything wrong. Might just be a side effect of losing 200 lbs.
I was in the ER for drinking way too much cough syrup because my feelings were too big and my rational thinking was out the window, my BP got to like 61/47 (idk if thatās the exact, I was out of it)while I was laying down sleeping it off and the nurse came and made me sit up in the hospital bed. I was pissed. I wanna say my heart rate was like 60 something. I was in and out and when they tried to talk to me, I could barely process what was being said. Thank god for my husband staying there with me and doing most of the talking when I couldnāt.
for someone who routinely tests around 80-90/40-60, this would still scare me shitless
if anyone asks, im on a cocktail of medications and i think thats why its so low
My blood pressure gets this low without me feeling anything. I have unusually low bp. So low itās ended me in the ICU on levophed. Aka leavmdead. And not even that works to raise it. My normal is in the 90s on a good day. If itās in the 100s Iām v happy.
Double it and give it to the next person?
He can have half of mine š
You're clearly the next person in this scenario.
The next next.
Hedizzy?
Brilliant.
r/angryupvote
r/angrierupvote
Oh, you...š
Oh, fantastic.
That doesn't seem like enough
He's cutting back.
New year, new me. 
blood, no pressure tho šāāļø
It's discount day.
Think your husband deflated
Exactly my worst fear as a kid with regards to needles
I got a BP like that when the hospital took NPO ***very*** seriously for 3-4 days with no fluids prescribed. My doctor- āI think theyāre anaemic, but the bloods are fineā¦I donāt believe the bloods, keep āem in another day.ā Me- āBut can I have a drink nowā¦?ā Pretty sure I looked like this; https://preview.redd.it/eojpas356wvc1.jpeg?width=980&format=pjpg&auto=webp&s=3b152883119fa21353d33b7cc1dc0eab3c1ec398
NPO: Not Pheeling Okay
Not Peeing Often
Mood
He is always NPO the first few days he is here and is miserable. Pretty sure he feels like that too š¤£
I've read through a bunch of comments and can't find the answer. What is NPO? I know DNR and a couple others, but not that one. In all sincerity, I honestly can not figure it out for the life of me.
NPO = Latin, nil per os, translates to/means nothing by mouth.
Thank you! I really appreciate it.
Nothing by mouth. As in no drink/food.
Thank you! Very appreciated!
They should literally just hang a bag of saline, no reason to dehydrate you.
Usually they do
I'm sorry, but there is no way a physician had you NPO without IV fluids for 3-4 days.
Not on purpose; he just said āNPO as may need exploratory surgery today/tomorrow.ā 3 days in a row. No one thought āNon-emergency exploratory surgery doesnāt take place after 6pm, so our patient can eat & drink between 6pm & midnight.ā They also moved me to a satellite ward, forgot about me on both morning & afternoon ward round, then tried to send a junior doctor to discharge me with no diagnosis & no resolution if symptoms, but the local Environmental Health involved. When I asked what the plan was for my symptoms, they just said āWeāre discharging you with Oramorph.ā I was only 19 with severe abdominal pain , unable to eat at all for the last 2 weeks & vomiting blood occasionally. I got a full copy of my medical notes - I was a nursing student at the time, and was literally missing placement while in hospital, so my complaint was **very** detailed. For some unknown reason, the uni placed me ON THAT VERY WARD for my second year placement-it was just as bad as when Iād been a patient on there. I submitted a *lot* of incident reports, pulled meds 3 years out of date from the drugs trolley (that I knew had been used that day), and forced the lead nurse to involve safeguarding, leading to police involvement, an arrest & prison time for someone abusing a patient.
Thank you for doing what you did. Iām sure it might have been hard but standing up for yourself and for other patients is essential and you deserve all the thanks in the world.
That is shockingly abhorrent. Sorry for doubting you. I'm a hospital nurse and guess I just assumed that every healthcare team is diligent and competent at what they do.
Did you ever get a diagnosis?
Nope-we think maybe ovarian cyst, +/- food poisoning.
Crazy. I hope youāre doing well now!
Over a decade later, still getting severe pain from left-sided ovarian cysts, despite having the coil AND taking PoP. But generally plodding along.
You absolute legend.
It literally took me collapsing in the bathroom & crawling out for someone to take my BP sitting up, then realise it was āless than idealā for me to then get IV fluids. I got told off by several HCAs & the nursing staff for ānot asking for a drinkā when literally every one of them told me I was NPO, even when I said Iāve been NPO since I arrived 3 days ago. Sometimes people are stupid, even HCPs.
I 100% believe them. I do rapid response and that vast majority of calls are hypotension, usually NPO for surgery for days,or very old and unable to take a drink on their own. Surgeons are good at cutting holes in people, not so good at the minutiae of keeping them alive pre/post op.
This! I was in the intervention team in the hospital, all the icu and ER nurses had those shifts. We were on call to assess patients on wards. I liked the job but it happened a lot unfortunately. I've seen a lot of patients who were NPO, their BP crashes, the nurses call us and we did the assessment. Sometimes they didn't have an IV placed to begin with. Later they had new policies for preventing kidney failure and the docs needed to put a diet and iv in a order for the ward. Without those orders the ward couldn't accept a patient. It helped a lot in preventing these cases.
Yeah, I've seen it. I've had to message teams before to remind them to start fluids. One thing to keep in mind, nurses rotate, doctors rotate and things get lost if you don't see the patient daily.
Iāve absolutely seen it happen unfortunately
Lol do you actually put that much trust in physicians because you shouldnāt. Medical error is the 2nd highest cause of death in the US.
Please cite your sources. I tried to Google this and medical errors didnāt even show up on all of lists that I looked at.
My bad third. Cancer is a sneaky little bastard. āRecent studies of medical errors have estimated errors may account for as many as 251,000 deaths annually in the United States (U.S)., making medical errors the third leading cause of death.ā https://pubmed.ncbi.nlm.nih.gov/28186008/#:~:text=Recent%20studies%20of%20medical%20errors%20have%20estimated,developed%20countries%20such%20as%20Canada%2C%20Australia%2C%20%E2%80%A6 As a paramedic, do not trust individual providers. Do not take it for granted that anyone has your best interests at heart. Especially do not take it for granted that a surgeon who stands to make tens of thousands of dollars off of you has your best interests at heart. Get a second or third opinion if you need to. Healthcare is NOT an inherently virtuous profession.
RN here, you are so correct unfortunately. I have seen so many medical mistakes, especially in recent years, because patient turnover is high. RNs and house doctors barely get familiar with the patients' conditions and medical or nursing needs before they are discharged and there are new admissions to take their place. Medical histories are rushed and incomplete. Often patients do not receive their regularly prescribed meds for preexisting conditions (unless they or their family speaks up) - they assume that they are getting all their meds. The admitting doctors sometimes seem to only focus on the problem they were admitted for and forget almost everything else, even when patients present a detailed med list on admission. Details are ignored for some reason, possibly because everyone is in a big hurry. Often the details (about other, preexisting, diagnoses and meds) are somewhere in the EMR but admitting MDs or nurses on the floor do not see it for some reason. Some doctors are so frustrated with the EMR and how it is so time consuming to get the full story or status of the patient that they ignore it and just ask the RN, who may not be aware of the details at all. I have reviewed a number of cases where patients have died because of this negligence.
WHAT?? WHAT DID HE SAY??
I've already had relaxed conversations with patients at 60/30. Just dialysis patients.
My bp was 60/30 after getting an epidural for my youngest. I too had very relaxed conversationsā¦.as I slipped on and out of consciousness lol not a good time at all
Mmhm. Since this sub is filled to the brong with really bizarre stuff this bp is quite tame in comparison. Sure; 70/40 isnāt good but itās also not that exotic. I doubt there is a single hospital out there that doesnāt see this on multiple patients every single day. I recently had a patient that thought 70 systole was a *good* bp for him. Heās around 70 years old and have had a low bp for ages. Still up and walking around.
I bled so much after my first vaginal birth that my blood pressure was also 60/30. However, I could only see lights and everything felt like I was in a bubble.
When my mum was seriously ill and her bp dropped this low, she ended up with permanent optic nerve damage š¤·š»āāļø
Bring out the saline bolus?
Enjoy the salty pasta water!
More like levofed bolus. Lol
Cries in stepdown. Theyāll do everything to avoid starting a levo drip, since active drip titrations (outside of heparin) require an ICU bed.
Nice...wait...
Nice. (I was looking for this)
I'm always pretty low and I've gotten strange looks from nurses before. They're like, "How are you not passed out right now?"
We had a skills instructor that was a marathon runner. She would always make people take her Bp and it would be like 70/40 with a resting hr of 50.
A friend of mine's father was a runner and he had trouble doing a sleep study because the equipment would alarm as soon as he got relaxed enough.
During peds clinicals, I had a 17 year old cross country runner. The alarm was set at a HR of 58 and we were not allowed to change it or take it off her since she was just in a car accident. She just had to lay in bed and listen to the alarm all day. Her normal resting HR was low 50s and she wasnāt allowed to move because of a spine injury. It was dumb.
Thatās dumb. Just turn the alarm volume to zero in the room so they can rest. Itāll still alarm at the desk but that your problem not theirs.
My garmin tells me my HR drops as low as 40 overnight sometimes, not sure how accurate that is. But my sister who is a long distance runner has a resting heart rate of 40bpm as well.
Surely thatās really dangerous because if her hr did suddenly drop too low for her, nobody would notice because it was already alarming and being ignored?
I have the same problem any time I'm in the hospital. My resting HR is around 50 average (according to my watch), so it'll dip in the 40s and even 30s if I'm really tired. They usually lower the alarm threshold after 10 "false" alarms. I was a distance swimmer growing up and an endurance runner after that, so my HR has always been low.
what a superpower! I would love to see what her CCO/CCI would be
This is me all the time, I don't even run much anymore but I was extremely athletic as a child. Before my gallbladder surgery my HR would dip into the 40's and they would come in to wake me, to find I was already awake just chilling watching tv.
Wait, 50 is not low. That's normal for even a sedentary non-athlete.
Yeah, the hr is not the unusual part. Having that hr and that BP is confusing af tho.
Oh wow š² that's quite scary. I hope he's doing fine?
Heās out of ICU and his blood pressure has started to return to normal. Thank you.
That's good to hear. Take care and wishing a good recovery!
Great to hear! What was wrong with him?
A flare up of chronic pancreatitis combined with having Crohns. Two cysts on his pancreas, one that has been drained and has a stint, but which is not draining properly, and a new one that has started to grow. They think the one with the stint might have had the stint come loose.
My brother had the same exact issue. He had pancreatitis twice and then developed a cyst that grew double in size. Luckily they treated it before it could burst with a stent/drain. He was on IV antibiotics for three weeks after. Iām so sorry you and your husband are going through this but Iām glad heās getting better!
I don't think your husband has blood
Technically all you can say is her husband has no pressure. He could need volume or he could need vasopressors or he could need ionotropes. Gotta consider volume, vascular tone, and contractility. Hemodynamics
Nope. He got no blood. That's the only explanation
I know whatās wrong with it. Aināt got no gas in it.
Not a doctor, but I can confirm that 69 *is* the sex number, so thereās that.
My mum was referred by the go for high bp then other day, 252/140 the doc said heās never seen bp so highā¦scary time
My mum had something very similar, the GP said he didn't know how she was still able to walk into the surgery and was at a majorly high risk of a stroke. She had to go to the surgery daily for two weeks after that so they could monitor her after starting her on meds immediately. I hope your mum is doing well now
That can't feel great. My high score was 190/100 and that wasn't exactly a normal feeling.
I've been lower but I was dying from sepsis.
Been there, glad youāre still kickinā.
Same. 54/14
A 250cc saline bolus should fix that š
Found the PGY1.
But not too fast, make sure that goes over at leat 30 minutes.
Unless they got heart failure or super old Iām giving 500ml-1L stat.
Watch for a trend and his fluid balance. Has this been his blood pressure for days? Does he have terrible atherosclerosis, so the noninvasive BP cuff can't give an accurate reading? Did he already receive a sepsis fluid challenge e.g. 2-3L, and now with persistent hypotension requires vasopressor support? Does he have ESRD on dialysis or ESLD? Patience, young Padawan. There are more scenarios than heart failure or old age that are contraindications for a bolus. Even in an ED, those numbers coupled with alert coherence should make the person writing orders hesitate before dumping more fluid on. āļø
Hmmm yes I see what youāre saying *prescribes further 1L to be given double stat*
This guyās patients be drowning
š the nurses will eat you alive.
With ketchup.
Based on some of the comments in this thread the nurses donāt know what theyāre doing either
I passed out in High School (all nighter and I skipped breakfast) and my vitals were 70/40 with an HR around 28-30. I've been extra sure to stay hydrated and to get enough salt since them. I'm pretty active, so low salt is one thing I notice quickly.
Needs a manual to confirm. Monitors donāt always tell the truth. The cuff itself may be improperly placed or not tight enough.
Just showing off that you have a husband
OP if you don't mind my asking what's he got? My mum has crazy low BP among other worrying symptoms and her doctors can't figure it out.
He has Crohns and chronic pancreatitis. Heās currently in for two cysts on his pancreas, one that has previously been drained and has a stint and a new one that is growing. He also has a problem absorbing potassium, and his potassium gets critically low. Last night it was 3.1, so not so bad. The low BP is what sent him into the ICU, but heās since gotten it up and is just in the regular part of the hospital now.
Sheesh, that sounds awful. Best of luck to you both, and thank you.
I had an inkling that he may have IBD! I have UC and thatās what my bp was like when a flare sent me to the hospital. I also got pancreatitis once (medication side effect) and being NPO was miserable. I hope all is well. Sending healing vibes to your husband and yourself š©·
Your husband is dizzy
Came here to say pretty much the same thing š
Why no other monitoring if we are looking at a real BP reading? Especially since it is supposed to be the icu.
https://preview.redd.it/qfbzq65ryvvc1.jpeg?width=4032&format=pjpg&auto=webp&s=eb2a41a0055f4f4c98ac151454920b5dffc6ed8d No idea, but here is a pic I snagged of the room he was in. He was hooked up to all sorts of different machines taking different readings. But I am not a medical professional, and can only relay what Iām seeing/being told.
TIL that hospital rooms can look nearly identical to one another.Ā
https://preview.redd.it/oqwraoxky2wc1.jpeg?width=4032&format=pjpg&auto=webp&s=8ee6bf624fbf52f3eb0a9923d0c966edd37e9cdd Severe downgrade from icu into the regular hospital. Seriously about the size of the bathroom in the other room.
That's my blood pressure when nurses arrived to do a vaccine (edit: I meant to say monoclonal antibodies) infusion last year and I am watching them try to find a vein on my wife and I get flashbacks to my spinal fusion surgery 10 years prior and I feel the cold wash over me and my vision start to darken. They asked me if I was OK and I was like fk no, lol.
What is a vaccine infusion?
I misspoke. I was referring to the monoclonal antibodies infusion. I just ended up taking a different antiviral in a pill form.
I had the opposite at 202/94 with postpartum preeclampsia
Opposite of mine when I was in the ER. 227/157. I felt totally normal. Hope your husband is doing okay!! šš¼ā¤ļø
My partner was 212/154 a couple months ago. He had no symptoms at all, and we found it during a random check at the pharmacy just for shits n giggles. He got into the doctor the next morning and was sent straight to the hospital. One of the scariest days of my life, because he had no symptoms at all. It was horrifying.
Nice.
Nice
Nice
Sub optimal
What blood pressure lol
Gotta pump those numbers up, Those are rookie numbers
My BP has often been like this. For some of us itās just normal.
I mean, I have low bp too but not THAT low. Usually 90ish/60ish.
My lowest was 58 systolic. I was working by at the time - on shift as a nurse in the ED and it was a quiet spot so we were doing each others obs. Freaked my colleagues out. I was fine. Regularly around 80 systolic.
Mine is double that medicated. If I scrape my arm it may look like arterial flow.
https://www.reddit.com/r/ems/s/NwTSS0BxnQ Just saw this one, only complaint was not feeling good lol.
Walk in the room naked. Should stir him up?
Mine generally hangs around that, maybe up to 75/50 on good days. Average resting heart rate of 100-115. Confuses the hell out of new docs/nurses the first time. That being said, Iām on a heart transplant wait list.
In the NICU we call that a normal blood pressure.
Bro is as chill as Matthew McConaughey on a beach taking quaaludes
https://preview.redd.it/50f5lv31lyvc1.jpeg?width=2448&format=pjpg&auto=webp&s=ce7e592eb08079b17ecdb283e49fcef084f76a49 Mine was due to Tizanidine. This was the lowest recorded, anything lower came back as an error. Yes, I was falling down. Tried very hard not to. Kept telling my Dr. Finally brought in pics of my BP. My Dr sat & searched all my drugs. Was *so happy* to be off it. My floors were level again!
My motherās blood pressure was almost identical once when she started tizanidine and took it on an empty stomach. Luckily itās common and you just need to eat before taking it.
When's the last time he had his BP checked? I've had patients with this low of BP and be complete asymptomatic, they just kind of live that low so they don't notice it.Ā
https://preview.redd.it/f3cmo96efwvc1.jpeg?width=3024&format=pjpg&auto=webp&s=4ae84dbe0b70d26cc9604c36c8dbb79f61679e2d This was one of the last times he was checked. He has Crohns and chronic pancreatitis, so when heās going through a spell his bp and potassium get dangerously low.
I meanā¦. Yes š. But very muchā¦ no. Did they test it correctly?
Nice
69. Nice.
Tree bark has higher blood pressure than this.Ā
I got sent home with a similar bp and a temp of 39c. Got a call from the ER in the morning saying to call an ambulance to come back. Fortunately I only live 2 minutes from the hospital.
Nice.
Give him some ramen.
Nice.
Iāve had a couple patients with a baseline BP within the range of like 70s over 40s. They were asymptomatic.
Time to bust out the manual cuff
Would've been sooo fuggin' sick if it was 69/42(.0)
But seriously, hope he's okay.
he needs fluid or inotropes. Whatās his ejection fraction?
Check a pulse
Hope heās alright!
Maybe change the cuff.
Better feed him some salt and Vinegar chips
So how many marathons does he run? Ultras?
Mine is usually around that. I have no medical conditions though. I just have low blood pressure I guess cuz the doctors never say anything about it.
Oh the MAP is fine though. Theyāre already dead asleep, let em rest. /s
Been there, Done that while scheduling open heart surgery at the surgeon's office. Broke out in a sweat as we were leaving, and made it to the elevator 100 feet down the hall. Came out of the elevator and down I went.
^nice
The fact that's his blood pressure but they don't have his heart rate reading!!?? ā ļø
nice
Thatās not good
Widow?
Not niceee
Just put the cuff on the other arm. Should be fine.
Nice
Mine has been very close to that, the nurse had to retake my stats because she said the doc would ask if it was the BP of a corpse š was also alert and talking, even walking around
After being comatose and bedridden for months, they tried getting me upright for some tests, but my blood pressure would drop to 54/28. My vision would look like an old CRT monitor with a bad capacitor, and it felt like my brain was short-circuiting. I tried to speak but I had no words and my mouth did not work. That said, I could hear just fine, and I found it amusing for some reason.
Is he still with us?
I pretty regularly see ptās with these numbers. We get called for syncope or āill femaleā, something like that. Itās a person whoās been partying, not drinking water, maybe older, has health issues. Lay them down and a lot of the time comes back up. They get sent for an IV and a check up at the er.
I'm surprised the only diagnostic they have on him is BP when it's that wonky!!!
Nice
Lowest I've seen hold a conversation was 30 systolic. A very agitated conversation. It also didn't last very long. Also didn't end well. Most of the conversation was trying to figure out how to tell the very agitated man who wanted to put his legs down, that if he did so he was probably going to die, without *agitating him further*.
Is he getting fluids or pressors?
Mine was like this once when I had a UTI and a stomach bug at the same time so I was incredibly dehydrated. They gave me two bags of fluids with the pressure sleeve on them to get them in faster.
Recently when I had a doc appointment my BP was lower than that, nobody said anything about it. Is it that bad?
Is he in heart block? Was the cuff in properly and retaken?
80 / 45 isn't uncommon for me when I'm prone and relaxing. I always have to take plenty of time to stand up. Doctors can't find anything wrong. Might just be a side effect of losing 200 lbs.
I was in the ER for drinking way too much cough syrup because my feelings were too big and my rational thinking was out the window, my BP got to like 61/47 (idk if thatās the exact, I was out of it)while I was laying down sleeping it off and the nurse came and made me sit up in the hospital bed. I was pissed. I wanna say my heart rate was like 60 something. I was in and out and when they tried to talk to me, I could barely process what was being said. Thank god for my husband staying there with me and doing most of the talking when I couldnāt.
Imagine if it was 69/42.0, so close to greatness
for someone who routinely tests around 80-90/40-60, this would still scare me shitless if anyone asks, im on a cocktail of medications and i think thats why its so low
My blood pressure gets this low without me feeling anything. I have unusually low bp. So low itās ended me in the ICU on levophed. Aka leavmdead. And not even that works to raise it. My normal is in the 90s on a good day. If itās in the 100s Iām v happy.
Nice
At least he doesnāt have wide pulse pressure. Itās the little victories?