BLOOD PRESSURE Flashcards
(20 cards)
PURPOSE
To obtain a baseline ______ of _______ for subsequent evaluation
- measurement
- arterial blood pressure
To determine the client’s ________ (e.g., cardiac output: stroke volume of the heart and blood vessel resistance)
hemodynamic status
To identify and monitor _____ in blood pressure resulting from a ______ or ______
- changes
- disease process
- medical therapy
Assess signs and symptoms of ______ and ______
Factors affecting ______
Assess the client for ______ allergy
- hypertension
- hypotension
- blood pressure
- latex
What are the equipment used to assess the blood pressure?
stethoscope
blood pressure cuff of the appropriate size
sphygmomanometer
Preparation
Ensure that the equipment is _____and functioning properly.
Check for ____ in the ____ between the ____and the sphygmomanometer
- intact
- leaks
- tubing
- cuff
Preparation
Make sure that the client has not ____ or ingested ____ within 30 minutes prior to measurement.
smoked
caffeine
4.1.
The adult client should be _____ unless otherwise specified. Both feet should be ____ on the floor.
sitting
flat
4.2
The elbow should be slightly _____ with the ____ of the hand facing up and the arm supported at _____.
~flexed
~palm
~heart level
4.2
Expose the ______ arm
(Ma’am would it be okay if I lift your sleeves?)
upper
4.4
Wrap the _____ cuff ____around the upper arm.
deflated
evenly
5.
Locate the _______. Apply the center of the _____ directly over the ____.
- brachial artery
- bladder
- artery
5.1
For an adult, place the ______ of the cuff approximately ______ above the antecubital space.
lower border
2.5 cm or 1 in.
6.
If this is the client’s initial examination, perform a _________ of systolic pressure.
preliminary palpatory determination
How will you conduct the preliminary palpatory determination?
1st Palpate the brachial artery with the fingertips
2nd Close the valve on the bulb
3rd pump up the cuff until you no longer feel the brachial pulse
4th note the pressure on the sphygmomanometer at which pulse is no longer felt
5th release the pressure completely in the cuff and wait 1-2 minutes before making further measurements
How will you position the stethoscope appropriately?
1st- cleanse the earpieces with antiseptic wipe
2nd insert the ear attachments of the steth to your ears
3rd ensure that the steth hangs freely
4th place the bell side of the amplifier of the steth to the brachial pulse
5th on the skin not clothing over the site
6th hold the diaphragm with the thumb and index finger
How will you auscultate the clients blood pressure?
PUMP
RELEASE (2-3 mmHg)
Korotkoff phases (1,4,5)
DEFLATE RAPIDLY
WAIT 1 to 2 mins
REPEAT
9th step
If this is the client’s initial examination, repeat the procedure on the client’s ____ . There should be a difference of no more than ______ between the arms. The arm found to have the _____ should be used for subsequent
other arm
10 mmHg
higher pressure
10th step
Remove the cuff
11th step
wipe the cuff with disinfectant
