Question

1. Jean is a 45-year-old male who presents to the emergency department complaining of a headache and mild chest pain. He has no SOB or diaphoresis. The triage nurse takes his blood pressure and gets a value of 140/120. What is his pulse pressure and MAP? Are these values normal? If not, what is considered the normal range? What are some possible consequences if this is not corrected?

Answer 1

Here the systolic pressure of patient jean is 140 mmHg,
and his diastolic pressure is 120 mmHg

His pulse pressure would be the value subtracting his diastolic pressure from his systolic one,
It should be 140 - 120 = 20 mmHg.

And his Mean arterial pressure would be 140 + (2x120) / 3 = 140 + 240 / 3
= 380 / 3
= 127 mmHg

• From the calculated value, it is known that the Jean's pulse pressure and MAP is considered to be abnormal.
• His pulse pressure is very low than a normal range, usually jean should need to have the pulse pressure around the range of 40 mmHg, but he has only 20 mmHg
• His MAP is increased or high when compared to the normal range, actual Jean should need to have the pressure value 70 to 100 , but he has 127 mmHg.
• If these value are not corrected probably he would suffer some organ failure, cause these values refers the poor cardiac output and decreased heart function. In some cases it may end up in heart failure if not corrected properly.