[NP-Clinical] Significant limb BP variance

[Priscilla Merrill]

Thanks, that’s just what I did.  No bruit, did check for that and stellar
lipids without meds.  Very fit and younger than stated age.  Thanks for all
the replies,

 

Priscilla

 

   _____  

From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of AnnMarie Roetzer
Sent: Wednesday, February 14, 2007 11:09 PM
To: NP Clinical
Subject: Re: [NP-Clinical] Significant limb BP variance

 

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. HYPERLINK
"http://us.rd.yahoo.com/evt=43910/*http:/mobile.yahoo.com/mail%0d%0a"Get
email on-the-go 
with Yahoo! Mail for Mobile. HYPERLINK
"http://us.rd.yahoo.com/evt=43910/*http:/mobile.yahoo.com/mail%0d%0a"Get
started.

--
No virus found in this incoming message.
Checked by AVG Free Edition.
Version: 7.5.441 / Virus Database: 268.17.39/687 - Release Date: 2/14/2007
4:17 PM


-- 
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.441 / Virus Database: 268.17.39/687 - Release Date: 2/14/2007
4:17 PM
 
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070215/0cca0692/attachment-0001.htm