Blood Pressure– Big Change

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    Profile photo of rxbuffalo

    I work as a nurse at an assisted living facility, newly graduated (4 months). I had a resident fall outside this afternoon in the Florida heat, I responded quickly and took her blood pressure. The initial reading was 228/140… I felt like something wasn’t right so I waited and took BP again after I called EMS (the first time), about 5 minutes later. It was 201/123– Pulse was 116. A few RA’s and I got her in the wheelchair and inside to her room where I took her BP again and this time it was 155/96. I waited about 15 minutes for EMS to arrive (long story short, where she fell- I had no service on my work cell or personal cell, so the call kept dropping which is why it took so long for EMS to arrive). By the time EMS got there, her BP was NORMAL! Now, I may be a new nurse but I KNOW how to take a blood pressure properly, and after seeing that EMS got abnormal reading 20 minutes after my initial reading, I am just wondering if anyone has ever had this happen to them? It sounds stupid but I’m really bummed out because I feel like EMS didnt believe that her BP was that high. Has anyone ever had anything similar happen? I don’t use a lot of nursing skill in assisted living, so I don’t know how common this is so don’t make me feel too terrible 😥


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