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    Blood Pressure

    Uploaded by

    Manar Magdy
    This document provides the definition, purpose, equipment, and procedure for measuring blood pressure, noting that blood pressure is measured to obtain baseline data, monitor a patient's condition, and detect changes that could indicate hypertension or hypotension. The procedure involves using a sphygmomanometer and stethoscope to listen for Korotkoff sounds as the cuff pressure is released and record the systolic and diastolic pressures, then documenting and reporting any relevant findings.

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

    Blood Pressure

    Uploaded by

    Manar Magdy
    156 views18 pages
    This document provides the definition, purpose, equipment, and procedure for measuring blood pressure, noting that blood pressure is measured to obtain baseline data, monitor a patient's condition, and detect changes that could indicate hypertension or hypotension. The procedure involves using a sphygmomanometer and stethoscope to listen for Korotkoff sounds as the cuff pressure is released and record the systolic and diastolic pressures, then documenting and reporting any relevant findings.

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    This document provides the definition, purpose, equipment, and procedure for measuring blood pressure, noting that blood pressure is measured to obtain baseline data, monitor a patient's condition, and detect changes that could indicate hypertension or hypotension. The procedure involves using a sphygmomanometer and stethoscope to listen for Korotkoff sounds as the cuff pressure is released and record the systolic and diastolic pressures, then documenting and reporting any relevant findings.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    156 views18 pages

    Blood Pressure

    Uploaded by

    Manar Magdy
    This document provides the definition, purpose, equipment, and procedure for measuring blood pressure, noting that blood pressure is measured to obtain baseline data, monitor a patient's condition, and detect changes that could indicate hypertension or hypotension. The procedure involves using a sphygmomanometer and stethoscope to listen for Korotkoff sounds as the cuff pressure is released and record the systolic and diastolic pressures, then documenting and reporting any relevant findings.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    objectives

    At the end of this session the student will be


    able to know:
    Definition of Blood Pressure
    Purpose
    Equipment
    Procedure
    Blood Pressure
    Is the force or amount of pressure exerted by the blood
    against a vessel wall of the arteries when the left
    ventricle contract
    Purposes
    To obtain baseline data.

    To monitor patient’s condition.

    To detect changes in the patient’s physical


    condition that may lead to the development of
    hypertension or hypotension.
     To help in diagnosis and treatment
    :
    Equipment
    A sphygmomanometer either mercury or aneroid.
    A stethoscope.
    Alcohol swab
    Nursing record.
    Paper bag.
    Pen, pencil.
    procedure
    1. Explain procedure.

    2. Wash hands.
    ……Procedure Con
    3-Prepare equipment.

    4-Prepare and position the


    patient:
     Make sure that the client has
    not smoked or ingested
    caffeine, within 30 minutes
    prior to measurement.
    Position the patient in
    sitting position, unless
    otherwise specified..

    Expose the upper arm.


    5-Wrap the deflated cuff evenly around the upper arm.
    Place the sphygmomanometer at the patient’s heart
    level.
    Wrap the center of the bladder directly over
    the medial aspect of the arm.

    For adult, place the lower border of the cuff


    approximately 2 cm above antecubital space.
    6-For initial examination, perform preliminary
    palpatory determination of systolic pressure:

    Palpate the radial artery with the finger tips.


    Close the valve on the pump by turning the knob
    clockwise.
    Pump up the cuff until you no longer feel the pulse.
    Note the pressure on sphygmomanometer at which
    the pulse is no longer felt.
    Release the pressure completely in the cuff, and wait 1
    to 2 minutes before making further measurement.
    7-Position the stethoscope appropriately:
    Insert the ear attachments of the stethoscope in your
    ears so that they tilt slightly fore ward.

    Place the diaphragm of the stethoscope over the


    brachial pulse; hold the diaphragm with the thumb
    and index finger.
    8-Auscultate the client's blood pressure
    Pump up the cuff until the
    sphygmomanometer registers about 30 mm
    Hg above the point where the brachial pulse
    disappeared.

    Release the valve of the pump carefully so


    that the pressure decreases at the rate 2-3
    mmHg per second.
    As the pressure falls, identify the manometer
    reading. Listen for the first clear sound and record
    the reading mentally to detect the systolic BP.

    Allow air to continue to escape slowly, listen


    carefully for change in the sound or disappear and
    record reading mentally (to detect diastolic BP).

    Deflate the cuff rapidly and completely.

    Repeat the above step once or twice as necessary to


    confirm the accuracy of the reading
    9-Remove the cuff from the client’s arm.

    10-For initial determination, repeat the


    procedure on the client's other arm, there
    should be a difference of no more than 5 to 10
    mmHg between the arms.
    11-Document and report pertinent assessment
    data, report any significant change in client's
    blood pressure to the nurse in charge.
    Also report these finding:
    A. Systolic blood pressure (of an adult) above 140
    mmHg.
    B. Diastolic blood pressure (of an adult) above 90
    mmHg
    C. Systolic blood pressure of (an adult) below
    100mmHg.

    Documentation of:
    Patient’s name, date, time, reading, position,
    abnormalities and action.

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