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blood pressure
force of the blood pushing against artery walls, written as systolic/diastolic reading
average: 120/80mmHg
systolic
active contractions of the heart
diastolic
relaxation of heart between beats
heart rate
heart beats per minute (BPM)
average: 80 BPM
respiratory rate
the number of breaths taken per minute, typically measured in breaths per minute (BPM) during rest
average: 12-20 breaths per minute
temperature
internal temperature of body, measured in C or F
average: 98.5F
oximetry
the measurement of oxygen saturation in the blood
average: 95-100%
what artery is used to measure BP?
brachial artery
ideal conditions to take BP
pt sitting for 5 mins
brachial artery at level of heart
pt to avoid exercise, tobacco, and caffeine for 30 mins prior
room warm and quiet
cuff/stethoscope to bare skin
fistula
a surgical arterial bypass that attaches a vein to an artery
who most commonly has a fistula to be aware of when taking BP?
dialysis pts
auscultatory gap
silent interval between systolic and diastolic pressures
associated with arterial stiffness and atherosclerotic disease
white coat syndrome
higher BP while evaluating in office, at home BP measurements more accurate
elevated BP
systolic reading 120-129 AND diastolic reading <80
stage 1 hypertension
systolic reading 130-139 OR diastolic reading 80-89
stage 2 hypertension
systolic reading 140 or higher OR diastolic reading 90 or higher
hypertension crisis
systolic reading higher than 180 AND/OR diastolic reading higher than 120
evidence for end-organ damage due to htn
retinopathy changes in eyes, EKG hypertrophy, abnormal mini mental stress exam/neuro exam, abnormal urinalysis (excess protein)
symptoms of LBP
generalized weakness, visual changes, syncope
what can cause LBP?
medications, blood loss, dehydration
orthostatic blood pressure
BP changes from when laying, sitting, to standing
worrisome orthostatic BP changes
systolic reading changes >20mmHg
diastolic reading changes >10mmHg