Friday, November 2, 2012

How to Measurement of Blood Pressure



In modern medical science, the measurement of blood pressure is very easy. We should be used the auscultator method of BP measurement-

Persons should be seated quietly for at least 5 minutes in a chair (rather than on an exam table), with feet on the floor, and arm supported at heart level. Caffeine, exercise, and smoking should be avoided for at least 30 minutes prior to measurement. Measurement of BP in the standing position is indicated periodically, especially in those at risk for postural hypertension, prior to necessary drug dose or adding a drug, and in those who report symptoms consistent width reduced BP upon standing.

An appropriately sized cuff (cuff bladder encircling at least 80% of the arm) should be used to ensure accuracy. At least two measurements should be made and the average recorded. For manual determinations, palpated radial pulse obliteration pressure should be used to estimated SBP-the cuff should then be inflated 20-30 mm Hg above this level for the auscultator determinations, the cuff deflation rate for auscultator readings should be 2mmhg per second.  SBP is the point at which the first of two or more korotkoff sounds is heard, and the disappearance of korotkoff sound is used to define DBP. Clinicians should provide to patients, verbally an in writing, their specific BP numbers and the BP goal of their treatment.

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