Mo's Monday Minute: Handling Unexpected Blood Pressure Readings in Nursing

Reassessing Unexpected Blood Pressure Readings

• 🎯 When you get an unexpected blood pressure reading, whether too high or too low, the first step is not to panic.
• 💡 Always verify that the reading is accurate before intervening, as inaccurate data can lead to incorrect treatment.

Troubleshooting Low Blood Pressure Readings

• ⚠️ If a reading is lower than expected, check the blood pressure cuff for correct alignment over the brachial artery.
• 📏 Ensure the cuff is not too loose or too large, as both can cause a falsely low reading.
• 🔄 Confirm the cuff hasn't slipped down onto the forearm and re-measure after a 5-10 minute wait for accuracy.

Addressing High Blood Pressure Readings

• 🧐 For high readings, verify the cuff size is not too small, which can cause an inaccurately high result.
• 🧘 Ensure the patient is comfortable and relaxed, with their arm supported and not bent, and that they are not talking during the measurement.
• 🚫 Avoid taking readings over clothing, as this can drastically elevate the result.

Next Steps After Reassessment

• 🏥 If the reading remains unexpected after reassessment, consult the patient's chart for existing orders.
• 💊 Look for orders for antihypertensives for high BP or a small fluid bolus for low BP.
• 📞 If no specific orders exist, contact the physician to discuss treatment options for abnormal readings.