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).
PROCEDURE IN CHECKING BLOOD PRESSURE.(MANUALLY)
· 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!