[NP-Clinical] Significant limb BP variance

[AnnMarie Roetzer]

Priscilla - 
   
  A couple different things about your case.  First, from what I understand unless the BPs are marked different, it is not clinical significant.  I have seen several pateints with significant carotid or subclavian stenosis, but their differences were more than 60 on each side. Perhaps you want to follow up with carotid duplex to rule out significant stenosis. Does she have a bruit?
   
  Regarding management, you treat the side with the higher BP and try to get it to goal.
   
  Good luck,
  AnnMarie

Priscilla Merrill <prispunnyfnp at metrocast.net> wrote:
      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
  
_______________________________________________
NP-Clinical mailing list
NP-Clinical at nurse.net
http://lists.nurse.net/mailman/listinfo/np-clinical



 
---------------------------------
No need to miss a message. Get email on-the-go 
with Yahoo! Mail for Mobile. Get started.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070214/56620a7d/attachment.html