HOSPITAL

MEASUREMENT OF BLOOD PRESSURE WITH MANUAL TENSIOMETER

-        The medical assistant washes his hands with soap and water;

-        Check if the cuff contains air and remove it by opening the safety valve, if necessary;

-        Close the valve well before applying the cuff;

-        The pneumatic cuff is applied to the patient's extended arm, in the area of ​​the radial or humeral artery (palpate the artery exerting slight pressure with your fingers to locate it);

-        The cuff is applied circularly, around the arm, well stretched 2.2 - 5 cm above the elbow and fixed;

-        The membrane of the stethoscope is fixed under the lower edge of the cuff at the level of the artery;

-        Insert the olives of the stethoscope into the ears (beforehand, if necessary, wipe and disinfect the olives and the metal parts of the stethoscope with sanitary alcohol);

-        The patient's arm must be supported at heart level and the palm facing up;

-        Air is pumped into the pneumatic cuff by means of the rubber pump until the pulsating noises disappear;

-        The air in the cuff is progressively decompressed by opening the valve;

-        The appearance of the first noise represents the value of the systolic pressure;

-        Mentally record the number indicated by the oscillating manometer needle at the moment you hear the first clear beat (Korotkoff sound);

-        Continue the decompression and the last noise represents the diastolic pressure value;

-        Remove the cuff and record the measured values, noting the patient's name, the date and the value obtained (Example: T.A. = 130/170 mmHg).

-        Wash your hands at the end of the technique.

Graphic representation of blood pressure

-        Calculate for each horizontal line in the temperature sheet, 10mmHg or 1 cmHg.

-        Graphically represent the values ​​resulting from blood pressure measurement by means of – a red rectangle, placed on the vertical line of time (D or S);

-        The upper side of the rectangle represents the systolic pressure, and the lower side of the rectangle represents the diastolic pressure;

TEMPERATURE SHEET

On the temperature sheet B.T it can be noted:

-        Numerical in the column reserved for this purpose;

-        Graphically by hatching with a red pencil in the maximum and minimum value, one square is equal to one unit.

B.P. MEASUREMENT ON THE THIGH

-        If it is not possible to measure B.P. at the level of the arms, you can measure the blood pressure at the thigh, at the level of the polite artery;

-        Choose a sufficiently wide cuff;

-        Position the patient on the abdomen to palpate the popliteal artery;

-        Measure B.P. following the same steps as when measuring at the level of the arms;

-        Keep in mind that B.P. it can be higher at the distal extremity compared to the proximal (upper) one.