Procedure in checking blood pressure(manually).

checking blood pressure

Errors and effect in procedure of checking blood pressure.

·        If the bladder cuff  through narrow  too wide,  (low blood pressure).

·        Arm  unsupported, (High blood pressure)

·        Insufficient rest before assessment,(High blood pressure).

·        Cuff wrap too loosed or unevenly, (High blood pressure)

·        Deflating cuff too quickly,(Low systolic and diastolic reading)

·        Deflating cuff too slowly, (High diastolic reading).

·        Hand above level of hear, (Low blood pressure).

·        Assessing immediately after exercise, stress, smoke, or has pain,(High blood pressure).   


·     Position: supine, sitting, standing.

·        In sitting position, the subject’s arm should be flexed.

·        The flexed elbow should be at the level of the heart.

·        If the subject is anxious, wait a few minutes before taking the pressure.

·       Ensure that equipment is intact and functioning properly.

·        Check for leavs in the tubing between the cuff and the sphygmomanometer.

·        Make sure the clients did not smoke, stress, exercise or ingested caffeine within 30 mins.

·        Position on the client appropriately, with arm supported, elbow extended and palm facing down.

·        Wrap the deflated cuff evenly  around the upper arm, find the brachial artery and apply the center of the bladder directly over the artery.

·        Perform a preliminary palpatory, determination of systolic pressure by palpatory the brachial with the fingertips.

·        Close the valve on the bulb and pump up the cuff until layer feel the brachial pulse, note the point and deflate cuff and wait 1-2 mins before making further  measurement.

·        Position stethoscope appropriately.

·        Asculate the clients blood pressure by pumping up the cuff until the sphygmomanometer 30mmHg above the point where the bronchial pulse disappeared .

·        Deflate until the last district,last sound in hear.

·        Release the remaining air.

·        Record the reading.

·        Make the patient comfortable.

     The blood pressure of 180/120mmHg or more require immediate attention!

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