Blood pressure documentation in the emergency department

Abstract

Objective To analyze the frequency of blood pressure documentation performed by nursing professionals in an emergency department.Methods This is a cross-sectional, observational, descriptive, and analytical study, which included medical records of adult patients admitted to the observation ward of an emergency department, between March and May 2014. Data were obtained through a collection instrument divided into three parts: patient identification, triage data, and blood pressure documentation. For statistical analysis, Pearson’s correlation coefficient was used, with a significance level of α<0.05.Results One hundred fifty-seven records and 430 blood pressure measurements were analyzed with an average of three measurements per patient. Of these measures, 46.5% were abnormal. The mean time from admission to documentation of the first blood pressure measurement was 2.5 minutes, with 42 minutes between subsequent measures. There is no correlation between the systolic blood pressure values and the mean time interval between blood pressure documentations: 0.173 (p=0.031).Conclusion The present study found no correlation between frequency of blood pressure documentation and blood pressure values. The frequency of blood pressure documentation increased according to the severity of the patient and decreased during the length of stay in the emergency department.

Relationship between noninvasive central blood pressure and brain natriuretic peptide levels in patients with hypertensive pulmonary edema

“…Early clinical diagnosis is of utmost importance and should be done before the release of laboratory tests [1]. Inaccurate brachial BP measurement and interpretation in the emergency department was documented in the literature, which can be explained by excessive workload [16].…”

Visita Domiciliária: Promovendo Saúde À Paciente Com Estomia

“…Outro cuidado assistencial realizado é a verificação dos sinais vitais, o qual é recomendado pelas diretrizes americanas para tratamento agudo do AVE. Atenção especial deve ser dada a monitorização da Pressão Arterial (PA). Estudo observacional realizado em São Paulo -Brasil demonstrou que existe associação entre alterações de PA e a ocorrência de eventos adversos, tais como parada cardíaca, internação não planejada em Unidade de Terapia Intensiva e aumento da mortalidade (DANIEL et al, 2017). Ademais, estudo realizado nos Estados Unidos, em 2011, demonstrou que existe diferença significativa entre a frequência de registros da PA e os níveis de classificação de risco dos pacientes (MILTNER et al, 2014).…”