[NP-Clinical] Significant limb BP variance

[Patricia Munz]

I believe this is a symptom of subclavian steal syndrome..don't have
time to look it up (sorry)
 
Pat Munz
 
-----Original Message-----
From: np-clinical-bounces at nurse.net
[mailto:np-clinical-bounces at nurse.net] On Behalf Of Priscilla Merrill
Sent: Wednesday, February 14, 2007 5:56 PM
To: 'NP Clinical'; acc-circle at listserve.com
Subject: [NP-Clinical] Significant limb BP variance
 
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
 
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