Blood Pressure Accuracy

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

(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

In this scenario, the subjected data is chest palpitation, lightheadedness and dizziness, the objective data is elevated heart rate with irregular rhythm, orthostatic blood pressure readings, lying 135/90, sitting 120/80, standing 100/60, and the client becoming dizzy and light-headed as he moves from a sitting to a standing position while taking the blood pressure. The subjective and objective data indicates that the patient has orthostatic hypotension. To determine what is causing the orthostatic hypotension a more in-depth health history, physical assessment, labs and diagnostic testing would need to be done.

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

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

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

(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

There was a reliance on technology to asses the patient over a clinical assessment. When a blood pressure could not be measured the staff assumed an issue with the equipment and not with the patient.

A physical exam for hypertension will include heart rate and heart sounds. An assessment of lung sounds would provide any indication of pulmonary edema (mayoclinic.org). Postural blood pressures should be taken with an appropriately sized blood pressure cuff at least 30 minutes after smoking or drinking any caffeine (Schwartz et al. 2006). These postural blood pressures will indicate whether or not the patient is compensating for the change in position. Orthostatic hypotension can lead to patient injury from falls (Woo & Wynne, 2012). Providers should be conscious of these risks and adjust the treatments slowly and individually to avoid these potential symptoms (pg.

Hypertension, cigarette smoking, and diabetes mellitus are among of risk factors of cardiovascular disease. Hypertension can lead to endothelial injury and cause myocardial hypertrophy (McCance & Huether, 2014). It is important for patients to keep blood pressure under control. Some patients may be able to control their blood pressure by changing their diet, and life style such as increase activity or exercise. Whereas, some patients may need to use medications to lower their blood pressure. NPs should educate patients on healthy lifestyle, diet, exercise, as well as side effects associate with prescribed medications. Experts suggest that patients are able to learn more information if they receive brochure or handouts after their office visits

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

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.

Blood pressures can be obtained by invasive or non-invasive means. When carrying out a skill such as blood pressure, the nurse needs not only to have the capability of reading the results on the electrical sphygmomanometer, they also need to have the understand of what the results mean and be able to decipher if the results are normal for that patient. Even though a range of what is deemed to be normal is given, a patient may have low blood pressure, which is slightly lower than the normal range, however consistency and adhering to and following that patient’s care plan will enable you to see that. Just as if the blood pressure reading is high.

According to the above selection, the patient needs to be compliant, satisfied, and knowledgeable. Jozien Bensing, the author of this article, believes that “a nontraditional dimension which involves concern for psychosocial aspects of care” and patient satisfaction are most important for effective communication. Bensing believes that the attitude of the physician when he/she is speaking with the patient is also important. She suggests that with good attitude and affective behavior towards the patient makes for a better understanding. This article talks about studies that were performed on patients with hypertension and how all of the aspects Bensing claimed were important were in each study. There were general practitioners that consulted

Prior to the procedure it is important to ensure that the patient is relaxed and rested for at least five minute as their physiological condition can result in inaccurate blood pressure measurements. The patient’s back and feet must be supported firmly and the legs must not be crossed. The upper arm is kept at heart level whereas the lower arm is passively supported. The Procedure should be carried out in a quite setting and there must be no communication during the whole procedure.