Blood Pressure

blood pressure measures what?

how strong blood is circulating through the arteries

systolic pressure is recorded when

the first sound is heard

what is happening at the first sharp tapping sound

the blood rushing into the artery that’s been closed by the inflation of the cuff

when is the diastolic recorded

when the last sound disappears completely

what’s happening when the last sound disappears completely

the blood is flowing freely

korotkoff phase 1

the first sound

korotkoff phase ll (more blood flows through the artery)

swishing sound

korotkoff phase lll (as more blood surges)

sharp tapping sounds

korotkoff phase lV

nouns changes to soft tapping that begins to muffle

what are two examples of contributing factors to incorrect readings

patient sitting with legs crossed, arm above heart or dangling at side

arm should be ______ when taking bp

resting of table or chair next to them at same heart level

one-sided mastectomy, bilateral mastectomy, lymphedema, and dialysis fistula are all ___

contraindications for limb selection.

systolic and diastolic range 1-2 yrs

systolic 90-105, diastolic 55-70

systolic and diastolic range 3-6

systolic 95-110, diastolic 60-75

systolic and diastolic range 6-12

systolic 100-120, diastolic 60-75

systolic and diastolic range older than 12

systolic 110-130, diastolic 65-80

normal blood pressure

< 120/80

elevated blood pressure

systolic 120-129, diastolic less than 80h

hypertension stage l

130-139/80-89hy

hypertension stage ll

140+/90+

hypertension crisis

180+/120+

small adult cuff size

8.7-10.2 inch

average adult cuff size

10.6-13.4 inch

large adult cuff size

13.8-17.3 inch

x-large adult cuff size

17.7-20.5 inch

orthostatic hypotension aka postural hypotension

significant drop in blood pressure (20 points) and increase in pulse rate (10 bpm) during positional changes

orthostatic hypotension causes

dehydration, heart disease, diabetes, some medications, nervous system disorders

how to measure orthostatic vital signs

measure blood pressure and pulse rate after 5 minutes of patient is laying down. have the patient stand up. measure blood pressure and pulse again at 1 minute and 3 minutes.