Blood pressure
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Blood Pressure Assessment: Procedure and Considerations
Introduction
Before taking your blood pressure, let's ensure proper preparation and understanding of the process.
Preparation
- Confirm patient consent and readiness.
- Ensure hands are washed and gloves are worn.
- Verify equipment cleanliness.
Procedure
Begin by selecting the appropriate arm and cuff size for accurate readings.
Arm Selection:
- Use the left arm due to optimal arterial configuration.
- Consider alternatives for patients with specific arm conditions or injuries.
Cuff Size:
- The cuff should cover at least 80% of the upper arm's distance between the axilla and elbow.
- The inflatable portion should cover at least 40% of the upper arm's circumference.
Placement:
- Position the cuff snugly on the arm, ensuring direct contact with the skin.
- Align the cuff arrow with the brachial artery for accurate measurement.
Execution:
- Inflate the cuff and maintain arm position at heart level.
- Avoid arm movement during measurement to prevent erroneous readings.
Considerations
- Monitor cuff tightness, especially in elderly patients or those on blood thinners.
- Account for individual factors such as age, medication, and medical history.
Interpretation
Review the displayed blood pressure readings, focusing on systolic and diastolic values.
Systolic (Top Number):
- Represents heart contraction force against arterial walls.
Diastolic (Bottom Number):
- Indicates heart relaxation between beats.
Conclusion
Remember, blood pressure assessment is part of a comprehensive evaluation, considering various factors to derive accurate insights into a patient's health.