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    Vital Signs Taking

    Uploaded by

    Zufumika

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Vital Signs Taking

    Uploaded by

    Zufumika
    4 views3 pages

    Original Title

    Vital signs taking

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views3 pages

    Vital Signs Taking

    Uploaded by

    Zufumika

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    PATIENT-DOCTOR RELATIONS I - NOTES (b Jtl )

    BLOOD PRESSURE MEASUREMENT


    PROCEDURE

    Requirements: Stethoscope
    Sphygmomanometer (aneroid)

    STEPS:

    1. Introduce yourself to the patient.


    2. Explain the procedure tothe patient and what the
    patient is supposed to do.
    3. Expose the patient’s arm and palpate the brachial
    artery then position arm so that the brachial artery at
    the antecubital crease is at heart level –roughly level
    with the 4th interspace at its junction with the
    sternum.
    4. Check whether the bladder cuff is of appropriate size
    and is inflatable and pump valve moves freely.
    5. Wrap the cuff snugly on the arm with the center over
    the brachial artery. Lower border of the cuff should be
    about one inch above the antecubital crease.
    Patient’s arm should be slightly flexed at the elbow.
    6. Feel for the brachial artery with the fingers of one
    hand and rapidly inflate cuff until the pulse
    disappears. Read this pressure and inflate
    30-40mmHg more (this will be your target for future
    inflations).
    7. Deflate the cuff promptly until pulse reappears. Note
    the manometer reading –this is the rough estimate of
    the PALPATORY SYSTOLIC PRESSURE.
    8. Deflate the cuff completely and wait 15 to 30 secs.
    9. Place the earpieces of the stethoscope into the ear
    canals.
    10. Relocate the brachial artery in the antecubital fossa
    and place the bell of the stethoscope lightly but firmly
    over the brachial artery.
    11. Inflate the cuff rapidly 30 –40mmHg above the
    palpatorysystolic BP.
    12. Deflate slowly at a rate of about 2-3mmHg per sec. by
    opening the valve counterclockwise .
    13. Note the level at which you hear the first sound. This
    is the SYSTOLIC PRESSURE.
    14. Continue to lower pressure slowly until the sounds of
    Korotkoff become muffled and then completely
    disappear. This is the DIASTOLIC PRESSURE.
    Deflate cuff to zero.
    15. Record BP.Systolic PressureBP = mm Hg, left arm,
    sittingDiastolic Pressure
    PATIENT-DOCTOR RELATIONS I - NOTES (b Jtl )
    PATIENT-DOCTOR RELATIONS I - NOTES (b Jtl )

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