These factors mentioned above are part of many limitations that could and could not have been avoided once conducting the experiment for instance:
- The baroreceptors of the skin which involves moment-to-moment changes of arterial pressure resulting in the machine not being able to cope with the many fluctuations of blood pressure and is why the average percentage change is needed to see trends. (Ty Lee, 2017)
The way to get rid of these possible outliers a result of the vasodilation and vasoconstriction of vessels is to create double-blind method experiment.
- Other limitations include the equipment, smal sample sizes and time with patients was a result of it being an undergraduate university conducted and supervised study.
- Because it was within a practical class all of the students being university students and not volunteers are more like to have been doing activities such as studying while some might have been doing activities such as sport or running before the practical and this is another limitation to furtherly jeopardise the integrity
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Therefore a recommended isolated room would be preferred to help reduce this environmental influence. An agreement could also be made between all the group members if the resources are restricted to relegate the noise level in order to increase the validity of the results collected.
- The equipment provided by the university such as blood pressure monitor is subject to error both human and mechanical. This is because an error did show up many times once taking the blood pressure subsequently the timing of collecting blood pressure was out and not as predicted.
This limitation can be resolved by replacing the blood pressure machines with newer ones or calibrating it constantly to check if the measuring is impaired in any
Since the introduction of automatic blood pressure equipment, manual blood pressure monitoring is becoming less common. Automatic blood pressure monitors are becoming predominant in clinical settings. This move towards technology is decreasing the exposure to manual blood pressure measurements (Cork, 2007). Manual blood pressures are an essential nursing skill that can affect a patient’s health and care. Providing the best patient care is the optimal outcome for all healthcare providers.
(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
Controls- The control in this experiment was very important because if it was not contained, then the data would have been faulty. It was very difficult to keep
View the right internal jugular vein when measuring jugular venous pressure. With aging, the aorta stiffens, dilates, & elongates, resulting in decreased pulsations on the left side. In addition, use caution when palpating & auscultating the carotid artery. Pressure in the carotid sinus may cause a reflex slowing of the heart rate.
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
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
However, there were limitations and strengths in those RCTs that influence the results. For instance:
Additional to addressing the limitations, there are questions that needs to be addressed. Although the finding of the study
Also, to improve patient compliance with medications, both the providers took extra time with the patient to clarify concerns. Additionally, a home BP monitoring system was installed to generate automatic BP readings to monitor improvements in blood pressure. Despite having well-planned processes, some hindrances happened due staff call-ins and home BP monitoring failure. Overall, in this cycle, a 10 to 15% improvement was observed in all four ramps (See Figure. 4).
Throughout the years, various methods have been utilized to measure blood pressure. One newer ways is the automated blood pressure cuff, which has become widespread in medical offices and at home for patient self-care.
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
In the first part of the practical, we will dissect the heart of a sheep and observe its anatomical structure. We will also examine the structure of blood vessels at a microscopic level. My hypothesis is that by examining the anatomy of the cardiovascular system, we will be able to detect differences in both vessels and the chambers of the heart. In the second part of the practical we will examine the electrical activity of the heart. In doing so my aim will be to produce a familiar ECG reading containing a P wave, QRS complex and T wave. Futhermore, we will take blood pressure readings by listening to the korotkoff sounds of the heart using a sphygmomanometer and stethoscope. We hypothesis that the higher the arm position is from the ground, the smaller the blood pressure reading will
With the information found with what a patient’s blood pressure is, it helps health care
To start off the experiment, a baseline was needed in order to be able to compare the different variables through out the experiment. The subject was instructed to sit and relax quietly while the blood pressure cuff and pulse plethysmograph were placed properly. After the blood pressure was taken and analyzed, it was found that the subject’s blood pressure was 122/64 mm Hg and a pulse rate of 60 bpm. Now that the baseline was obtained, continuing with the changing variables could take place. Starting with the variable of postural changes, the subject first reclined for three minutes. After the two minutes, the
Discussing potential risk issues associated with using automated blood pressure/pulse machine in relation to contemporary practice.