What is the highest BP reading you've ever recorded in a patient?

i was recently surfing the web and found a guy in japan claiming that he recorded a bp of 242/145 in a patient.

is such a reading even possible?

i'm curious to hear if anyone in this community remembers what the highest bp they've ever recorded was?

thanks in advance!:wink2:

ross51

I hit something like 220/150 once.Oh, you better believe I got the nurse after re-checking it. (I am not yet a nurse myself.)

Yes. Such a reading is possible. I work cardiac critical care and have seen it many times... unfortunately....

Quote from ross51is such a reading even possible?

My ex was diagnosed with malignant high blood pressure and his would be 220 or 240 over 140.

280s over 180s. It wasn't a patient, though. It was my father.

I once had a patient with BP averaging 230/160. She was 48yo, morbidly obese, diabetic, drinker, 3pk/day smoker and had suffered at 3 CVAs in the last 6 months. Orders were to keep her systolic above 200 to deter another CVA. Saw her SBP as high as 280.

Oh yea...dialysis pts

Did she live? Quote from MBA2RNI once had a patient with BP averaging 230/160. She was 48yo, morbidly obese, diabetic, drinker, 3pk/day smoker and had suffered at 3 CVAs in the last 6 months. Orders were to keep her systolic above 200 to deter another CVA. Saw her SBP as high as 280.

As a nurse, I have not seen one that high. But, as a patient dx with HTN about 2 yrs ago, my BP hit 250/150. I was also in bigeminy and tied up a trauma room for a GOOD while.Anne, RNC

252/159 BP as recorded by ER nurse for patient who had a stroke and lived.... (with serious cognitive deficits....)

I just had a patient with a b/p of 212/136. Totally asymptomatic.

When I was a student I got a reading of 210/100 on a guy post TKR. I was sure I had done it wrong so got the RN to do it.I had done it wrong.It was actually 280/80.The amazing thing the guy seemed absolutely fine, and he self corrected after 5 minutes - just as the doctors came racing through the door from the emergency response team!