University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

404

Pages:

2
Author:

perlesdesfees9ovd

Blood Pressure P TWO STEP METHOD 1. Preform hand hygiene 2. Have patient assume sitÝng or lying position. Provide privacy. If patient is sitÝng have feet flat on floor without legs crossed. If lying supine legs should remain uncrossed. 3. Choose proper cuff size for patient. (The length of the bladder should equal 80% of this circumference.) 4. Position extremity (arm) at heart level with palm turned up. Expose extremity fully by removing constricting clothing. Cuff may be placed over a sleeve as long as stethoscope rests on skin. 5. Palpate brachial artery. With fully deflated cuff, center it about 2.5cm (1 in.) above the brachial artery and wrap it evenly. 6. Position manometer gauge vertically at eye level and should be no more than a meter (approximately 1 yard) away. 7. Palpate the brachial artery. Inflate the cuff until the artery pulsation is no longer felt, continue to inflate cuff 20 to 30mm Hg beyond. 8. Slowly deflate the cuff and note point when pulse reappears (is felt) Deflate cuff quickly and fully and wait 15 to 30 seconds before re-inflating the cuff. 9. Rapidly inflate the cuff to the maximal inflation level that you determined. Then deflate the cuff slowly and evenly, about 2mm Hg per heartbeat. Note the points at which you hear the first appearance of sound. These phases are: I, IV and V (Korotkoff Sounds) ONE STEP METHOD 1. Preform hand hygiene 2. Have patient assume sitÝng or lying position. Provide privacy. If patient is sitÝng have feet flat on floor without legs crossed. If lying supine legs should remain uncrossed. 3. Choose proper cuff size for patient. (The length of the bladder should equal 80% of this circumference.) NI Initials and date 4. Position extremity (arm) at heart level with palm turned up. Expose extremity fully by removing constricting clothing. Cuff may be placed over a sleeve as long as stethoscope rests on skin. 5. Place stethoscope earpieces in ears and be sure that sound are clear, not mufÒed. 6. Relocated brachial artery and place bell or diaphragm over the artery. 7. Close pressure blub value until tight, quickly inflate cuff to 30mm Hg above patient’s usual systolic pressure. 8. Slowly release pressure bulb valve and allow manometer needle to fall at a rate of 2-3mm hg/second. Not point on manometer when you hear first clear sound. 9. Continue to deflate cuff gradually, noting point at which sound disappears. Listen to 10 to 20mm Hg after last sound and allow remaining air to escape quickly. ORTHOSTATIC (POSTURAL) VITAL SIGNS 1. Have person rest supine for 2 to 3 minutes, take baseline reading of pulse and BP. 2. Repeat measurements with the person sitÝng. 3. Repeat measurements with the person standing.