Taking Blood Pressure
Taking Blood Pressure
Taking Blood Pressure
DEFINITION:
It is the measurement of the blood pressure with a mercury manometer using the
brachial artery.
PURPOSE:
1. To determine the condition of the patient in so far as it is revealed by the diastolic,
systolic and pulse pressure.
2. To aid in diagnosis.
SPECIAL CONSIDERATION:
1. Keep the patient physically or emotionally quiet because excitement or exercises can
increase the blood pressure.
2. Use either arm in taking blood pressure, but in repeated readings, use the same arms
each time.
3. If blood pressure is to be repeated, allow 20-30 seconds or more for the circulation to
return to normal. Make sure that the cuff is completely deflated.
4. Be sure the blood pressure cuff is in proper place before inflating it again if it is left on
the persons arm between readings. A cuff not properly place affects blood pressure
readings.
5. Do not leave an inflated cuff in place for a period of time because it can cause
circulatory problems.
6. It the brachial artery cannot be use the popliteal artery behind the knee as first
alternative.
Materials:
● Sphygmomanometer
● Stethoscope
PROCEDURE RATIONALE 1 2 3 4 5
1.Have the patient extend his arms; support it
up on bed or table at the level of the heart
and with palm upward.
2.Position yourself so that the meniscus of
mercury can be read at eye level and no
more than three feet away from the
manometer.
3.Apply cuff around the arm one inch. Above
the antecubital fossa/space.
4.Wrap the deflated cuff evenly around the
upper arm. Locate the brachial artery. Apply
the center of the bladder directly over the
artery.
5.If this is the client’s initial examination,
perform a preliminary palpatory
determination of systolic pressure.
6.Palpate the brachial artery with the
fingertips.
7.Close the valve on the pump by turning the
knob clockwise.
8.Pump up the cuff until you no longer feel the
brachial pulse. At that pressure, the blood
cannot flow through the artery. Note the
pressure on the sphygmomanometer at
which pulse is no longer felt.
9.Release the pressure completely in the cuff,
and wait one to two minutes before making
further measurements.
10.Place the stethoscope ear pieces in the cars
and close the screw on the air pump.
11.Auscultate the client’s blood pressure.
Locate brachial by palpating with the
fingers over the antecubital fossa or in the
inner aspect of the elbow. Place the
stethoscope disc firmly but with a little
pressure as possible over the artery where
a best was felt. Do not allow the
stethoscope to touch the clothing or the
cuff.
12.Pump air bulb or pump of the manometer
until the mercury rises about 30mmHg
above the point at which the radial pulse
disappear.
13.Open air valve and replace air at a rate of
2-3 mmHg per second. Note exact point at
which first sound is heard note this figure as
the systolic pressure.
14.Continue to release air in the cuff evenly
and slowly. Observed that sounds first grow
louder and then fall sharply to a faint
murmur.Note point at which sound drop
sharply in volume. Note point which sound
disappears.
15.Allow the remaining air to escape
quickly,remove the cuff. Record the
readings according to agency policy. Assist
the patients to a comfortable position.