[NP-Clinical] Significant limb BP variance

[Priscilla Merrill]

Does anyone recall or know the management when BP is markedly different
between limbs?
I googled this and searched several sites and could find nothing.
I have a woman pt in her early 60’s.  Previous fx R arm long ago.  Her BP on
5 occasions (had her come in for consecutive checks) had BP in left arm in
high 140’s over high 80’s while her right was consistently 120’s to low
130’s over 70’s.
I changed her from her long-term HCTZ to a combo w/ 10 mg lisinopril but
curious as to your advice on why it would be so different.  Normal lipids
and otherwise very healthy, no prior cardiac events or health issues.
Another newly inherited pt.
Thanks,

Priscilla Merrill FNP

-- 
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.441 / Virus Database: 268.17.39/685 - Release Date: 2/13/2007
10:01 PM
 
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070214/730fb012/attachment.htm