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Old 08-09-2011
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Sphygmomanometer Measuring the Blood Pressure in the CS Encounter!


In some cases, you might have to measure the BP again, for example, when you suspect of a orthostatic hypotension...

And in the video that USMLE provides, they tell you to not take it in consideration since obviously the patient BP is going to be normal or similar to that (won't be very hypotensive).

So my question is, when we're writing PN, what should we write?

Orthostatic BP = the same? lower?

There's a mini case in FA book, that they put it in the Work up plan, as "Orthostatic vital signs" to be ordered.. I was thinking about doing that... Although it's not the most appropriate thing to do..

What did you do/think?
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Old 08-10-2011
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you can do bp if you want and to save time do it in just one arm

either way your gonna have to put the bp on the doorway in your pn its is almost like a rule that you put doorway bp on the note and don't worry if you didn't write it down you can go back up to the door while your writing your note to get the sp info and vitals

i would only do a bp if the doorway was like 168/90 and it was purely a hypertension
but that's me

good luck
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Old 08-11-2011
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My advice is that if ur going to do orthostatic BP measuring u will need 2 to 3 mins doing it, u need to bring it and apply it to the patient's arm and then ask the patient to stand from the bed - he or she might need ur help- and measure his BP, I doubt u will be able to and doubt u will have positive measurment and will anyways end up putting the doorway BP. It will be fairly enough if u just dont forget to mention it in the work up!

Last edited by drmuh; 08-11-2011 at 12:19 PM.
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Old 08-17-2011
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For my exam, I just wrote orthostatic / supine & upright BPs in my work up. I passed the exam.
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