Bilateral Blood Pressure Essay

The importance of manual blood pressure readings are often overlooked, even by experienced healthcare providers. Manual blood pressures closely approximate a person’s direct arterial measurements. However, there have been studies that

(Marieb and Hoehn, 2010, p 703) defined Blood Pressure (BP) as ‘the force per unit area exerted on a vessel wall by the contained blood, and is expressed in millimetres of mercury (mm Hg)’. BP is still one of the essential and widely used assessment tools in healthcare settings. Nurses generally record the arterial BP which is the forced exerted blood that flows through the arteries, to establish a baseline and to determine any risk factors. BP

K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home.

The purpose of arterial pressure and the pulse lab is to determine the effect of posture and exercise on systolic and diastolic pressure and the heart rate. And also in order to find the differences in the reading taken under these condition compares to the baseline reading. The Sphygmomanometer and stethoscope are used to measure the systolic and diastolic blood pressure, counting the beat on the radial artery will give the reading for pulse rate and by using the lab scribe software and IWX214, the blood pressure will be measured. In the heart, the aorta and the carotid arteries have baroreceptors and the chemoreceptors that identify the changes in arterial pressure and the changes in

High blood pressure (hypertension) is a major health condition which affects many Americans. This health condition may increase the risk of cardiovascular disease and stroke. A normal blood pressure consists of systolic blood pressure divided by diastolic blood pressure, 120/80mmHg (millimeters of mercury). High blood pressure is defined as systolic pressure which is greater than 140mm Hg, and diastolic pressure which is over 90mm Hg. Hypertension influences the health outcomes of black Americans more than other races in the United States. Racial discrimination and socioeconomic status are two major factors which influence the rate of high blood pressure in the black American population.

When the pressure was measured in the left arm, it was noted to be within normal range, even as the pressure in the right arm was still very low. The team immediately discontinued the pressor order, believing that the patient’s true BP was the one from the left arm, and that the right arm reading was due to local vascular narrowing. Although giving a vasoconstriction medication to a patient with narrow blood vessels could have had catastrophic effects, no adverse outcomes were noted in this

An A-line blood pressure reading is considered more accurate than the cuff pressure reading. During initial assessment, it is routine to compare the A-line blood pressure with the cuff blood pressure. A-line blood pressure readings are higher than the cuff blood pressure readings, and more than a 10% difference may be due to equipment error. Nonivasive blood pressure reading is the most frequently performed clinical parameter and at the same time , not accurately done procedure. Accuracy of the blood pressure reading is vital to the critical care interventions . Clinical situations such as circulatory shock and use of vasopressors, resulting from poor systemic blood flow reduces the intensity of Korotkoff sound. There fore, when you are evaluating cuff blood pressure, make sure that the placement on the arm, cuff size, and techniques are accurate. The cuff bladder circumference should be more than 80% of the arm circumference, and the height of the bladder should be more than 40% of the limb circumference. If the cuff is too small, the BP reading will be high, and a big cuff will give a lower than accurate reading. Remember that the cuff should be 1 inch above the ante cubital fossa and the hand at the heart level. If you need to repeat the reading, wait until the mercury comes to zero, and then wait 1–2 minutes before reinflating again; otherwise, it may produce a

S: In 10/22/2014, TM was seen for bilateral shoulder pain. Today TM is here complains of left shoulder pain. According to TM he was aligning a Santfa, a process involving reaching. When he was bring his arm down, he felt the sharp, tearing pain in his anterior of his shoulder. TM is here with left shoulder pain. TM reports his pain at 6-7/10. The pain was sudden, sharp at The pain was localized, and didn’t radiated to anywhere else. The pain was so sudden and so severe, it scared him. TM denies any tingling or numbness, loss of movement.

O’Brien E, Parati G, Stergiou G, et., al. ESH Working Group on BP Monitoring. ESH position paper on ABPM. J Hypertens.2013;31:1731–1767.

Hypertension is an indication of an increased risk for stroke. According to Verdecchia et al. (2015), there is a linear relationship between hypertension and increased stroke risk. The risk of stroke can be reduced with a decrease in systolic and diastolic blood pressure readings. In patients with a previous history of coronary artery disease, the ideal blood pressure is a baseline of 118/68 mmHg and a systolic of less than 140 mmHg (Verdecchia et al., 2015). Because of the evidence that associates hypertension with stroke risk, we offered and performed blood pressure screenings to the general public for our community intervention.

The mercury sphygmomanometer has been “gold-standard” for measuring blood pressure since it’s invention in 1881 (Ostchega et al, 2011). However, mercury is now considered to be an environmental risk and many hospitals and clinical practices worldwide have banned the use of mercury (Myers, 2010). There are now many mercury free alternatives to the sphygmomanometer such as the aneroid sphygmomanometer, digital monitors like the x or ambulatory blood

and the results of the two arms are not averaged. The patient does not need to be in the supine

When taking a client’s blood pressure it is important for the clinician to have record of accurate data. Assessing blood pressure can be difficult, which is why blood pressure data tends to lack accuracy and reliability. Accuracy is the extent to which the measurement/calculation meets its correct value. When determining whether the data is reliable or not it will depend on the accuracy of it. In order to minimize error when administering blood pressure a clinician should let the client know what they are doing , although it may seem unnecessary at first it is necessary to let them know so that the client does not get startled in anyway because this can cause their blood pressure readings to be inaccurate. The position that your client is in

The patient would need to be lying down for approximately 15-20 minutes in order to enable them to rest and have no stress or activity to affect the reading. Next, I would take their blood pressure using a Doppler and sphygmomanometer, wrapping the cuff around the upper arm/brachial artery. The cuff would be inflated until the pulse stops, when the cuff is deflated the first sound made when the blood starts to come back through is when a reading will be taken. This is the systolic reading.

Discussing potential risk issues associated with using automated blood pressure/pulse machine in relation to contemporary practice.