Blood Pressure Accuracy

4. What tips can you give KH’s wife to improve the accuracy of her blood pressure measurement technique? Used the better way to measure the blood and for the cuff to wrap

Two patient verifier completed. Per PA Wu , the patient was informed that she has added an additional bp med to his current regimen. Asked the patient that he has any swelling in legs. The pt says no. Informed the patient that only a 30 day supply was ordered on his Lisinipril. Please record bp readings for the next seven days at the same time then email reading via Micare. If bp in not controlled then a f/u with his provider is needed. The patient agrees and verbalized

The process of manual blood pressure and the meaning of the measurements taken, are critical in understanding how this process may differ in individuals found in different stages of their lives. Introduction Attention Grabber: “We are in danger of losing our clinical heritage and pinning too much faith in figures thrown up by machines.” - Paul Wood Reveal and Relate: I would like us all to take a second and think of this quote and the statement it is making.

When checking for orthostatic changes in vital signs the nurse should measure the serial blood pressure and take the pulse of a patient in the supine, sitting, and standing positions. The nurse should first start by placing the patient in the supine position and allowing the patient to rest for 2 to 3 minutes before taking the blood pressure. Next, the nurse should place the patient in the sitting position with their legs dangling off the side of the bed. Then the nurse should allow the patient to rest for 1 to 2 minutes before measuring the blood pressure once again. Lastly, the nurse should reposition the patient to the standing position and should allow 1 to 2 minutes of rest before proceeding to the last blood pressure measurement. Orthostatic changes in the patients pulse and blood pressure need to be monitored closely because they can indicate signs of dehydration concerning the gastrointestinal system. Usually while the patient is in the standing position the systolic blood pressure will decrease 10 mm Hg, and the diastolic blood pressure will increase a bit. Now, when the systolic blood pressure decreases by 20 mm Hg, the diastolic blood pressure decreases by 10 mm Hg or higher, and there could be no change in heart rate or there could be an increase in the heart rate of 20 beats/minute or higher while reposition from the supine position to the

(MacGregor GA, 2005) Lowering blood pressure within the entire population by introducing various interventions will benefit that community to a great extent. The values obtained by evaluating the systolic blood pressures of the women that partook in this study are definitely categorized as continuous variables. As stated by Norman and Striner, 2008, a continuous variable is one that is obtained by measuring something. This medical procedure is can be measured in different ways. Being a medic in the Army I find that obtaining a manual blood pressure using the cuff and a stethoscope is more accurate. Everything has its downfalls and limitations. In this case the hearing ability of the medical staff can make the readings vary if different medics are taking the blood pressure in which case I would recommend the same person conducting the procedure every

Notifying the physician of the client’s change in blood pressure from 140 to 88 mm Hg systolic

1. Which action will the nurse in the hypertension clinic take in order to obtain an accurate

The table was set up with blood pressure cuffs, stethoscopes, and brochures with the explanation of normal blood pressure ranges and high blood pressure ranges. Also, the information of the free clinic was provided if the readings of the clients were higher than average. The brief teaching session was delivered by nursing student explaining why blood pressure screenings are essential, what signs and symptoms may appear with high blood pressure and what complications may be with untreated blood pressure. As a complimentary for the participation homeless men obtained a toothbrush with

Healthcare providers will assess vital signs before delivering any medications, especially with patients who have blood pressure and diabetes problems. Sometimes, it is the right time to give the medication and it is the right dose, but the assessment shows that the client does not need the dose now, the staff members have to stop giving the medication.

Blood pressure is a physiological measurement and would need specific measurement for the prescribing of anti-hypertensives

With the information found with what a patient’s blood pressure is, it helps health care

When the blood pressure of a patient is taken, it is common practice to measure it with the patient sitting in the up-right position with the arm resting on the arm of a chair and feet flat on the floor. The reference point for the measurement of BP is the right atrium, the so-called ‘heart level’ (Guyton, 1986). Though, the guidelines of the World Health Organistation/International Society of Hypertension (WHO/ISH) recommend that the BP be measured with the patient comfortably seated with the arms supported at heart level (1993). It has been proposed that BP should be measured in the sitting, standing, and the supine position (Netea 2003). It is suggested that the BP measurement from the sitting and supine position will produce similar results if the extremity is at the level of the heart. Because the upper extremities are easily accessible by medical professionals, they are utilized more-so than the lower extremities. In order to obtain an approximant heart level in the sitting or standing position, resources suggest that we use the level of the midsternum as a point of reference when taking blood pressure measurements (Netea 2003). For the supine position, resources suggest that the heart level lies approximately half the distance between the surface in which the patient is lying on and the top of the sternum (Netea 2003).

(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

You want to teach the patient the side effects of dizziness, headache, hypotension, and tachycardia. Also you want to teach him not to take erectile dysfunction medications (Viagra) because it could further decrease his blood pressure.

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