Examination: Blood Pressure Flashcards Preview

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Flashcards in Examination: Blood Pressure Deck (12):
1

What is BP?

Pressure of blood in the arteries as it is pumped around the body by the heart.

2

What influences BP?

Age, Exercise, anxiety, coffee, medications etc.

3

How is BP measured?

With a sphygmomanometer.

4

(BP) Step 1:

Prepare the Patient:
- introduction
- confidentiality
- explain the process
- setting
- uncovered upper arm

5

(BP) Step 2:

Hand Hygeine

6

(BP) Step 3:

Select the appropriate cuff:
- Bladder length needs to be ~80% of the circumference of the arm and the width ~40%.
- If too small --> BP will be artificially high

7

(BP) Step 4:

Apply the cuff:
- Feel for the brachial pulse (medial aspect of the antecubital fossa)
- Wrap the cuff on the medial side of the arm with the arrow pointing to the brachial artery.
- Use a pillow to ensure the cuff is at the level of the heart.

8

(BP) Step 5:

Estimate SBP with palpation:
- feel for radial pulse and inflate cuff until that pulse dissapears
- release the cuff completely and wait 30 seconds

9

(BP) Step 6:

Listen to brachial pulse:
- Place diaphragm over brachial pulse and inflate the cuff to just above the SBP reading you got earlier

10

(BP) Step 7:

Listen:
- Slowly deflate the cuff watching the pressure and listen for the auscultatory sounds.

11

(BP) Step 8:

Record the result and thank the patient

12

What is important to tell a new patient?

- You will feel pressure as the cuff inflates, let me know if you're uncomfortable.