L5 PSA: Clinical Skills

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6 Terms

1
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Automatic BP: Introduction and General Preparation ( 6 points)

  1. Introduces self ( cleans hands) and wipe down equipment where needed 

  2. Identifies patient ( ⅔ info, name, address, DOB)

  3. Explain the procedure, Cuff will be wrapped around your upper arm and inflated) - may feel slightly tight but not too uncomfortable and awill last for up to 20s

  4. identify concerns and obtain consent

  5. Expose right arm ( or left arm if any issues)

  6. Position arm BP measurement point at the level of the heart

  7. Put the cuff around the slide ( velcro facing up and artery mark showing down arm before sliding into the patient's arms (Fit 2 fingers inside the cuff)

• Seated position is normal practice

• Feet flat on the floor 

• Ask them not to talk while the measurement is being taken

•Check they are comfortable

Measuring BP- Automatic 

  1. Switch on the machine and start recording

  2. Read the BP correctly

Finishing

take off cuff

wipe down cuff

Explaim measurements

  1. Systolic (top number): The pressure when your heart beats.

  2. Diastolic (bottom number): The pressure when your heart rests between beats.

  1. Document findings to patient ( normal, elevated, high)

  2. Discuss findings with patient ( refer to GP/ lifestyle modifications/ or healthy)

2
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between 90/60mmHg and 120/80mmHg

Normal blood pressure

3
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elevated blood pressure, sometimes called ‘pre-hypertension ( lifestyle modifications)

between 120/80 mmHg and 140/90 mmHg

4
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Stage one hypertension: high


between 140/90 mmHg and 160/100 mmHg in the clinic,

5
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Stage two:hypertension


between 160/100 mmHg and 180/120 mmHg in the clinic

6
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6

Know

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Stage three hypertension

over 180/120 mmHg