Question on taking Blood Pressure and Respirations - page 2

I was wondering how long you should count a patient's respiratory rate. I believe I was taught 30 seconds then multiply by two. However, if the patient is not experiencing respiratory distress, is... Read More

  1. by   Super_RN
    Quote from ELKMNin06
    well, the other day in clinical I had an obese pt. there for gastric bypass and the standard cuff on the wall wouldn't fit her...I searched the floor from top to bottom looking for a larger cuff...when I couldn't find one I asked the nurse what to do and her response was to take the blood pressure on the forearm and palpate the radial pulse...I found this extremely hard and had never heard of anyone doing it that way? The cuff was positioned between her wrist and her elbow. I knew you could take it on the thigh but I had never heard on the forearm...anyone else ever do it this way? just wondering
    We do that a lot on obese patients. The BP needs to be taken there consistently throughout their stay to have an accurate baseline. Sometimes we will use thigh cuffs for the upper arms if the cuffs are available.
  2. by   Antikigirl
    "actual Korotkoff sounds" OH Thank you so much nickle! I totally forgot the name of that and have been telling my CNA's who do most of our VS about it in discription with the addage "I forgot the name of it!" LOL!!!!!!!!!!!!!!!!!! Silly me!
  3. by   Nickle
    Yep, no problem!
  4. by   Maverick80
    Quote from ELKMNin06
    well, the other day in clinical I had an obese pt. there for gastric bypass and the standard cuff on the wall wouldn't fit her...I searched the floor from top to bottom looking for a larger cuff...when I couldn't find one I asked the nurse what to do and her response was to take the blood pressure on the forearm and palpate the radial pulse...I found this extremely hard and had never heard of anyone doing it that way? The cuff was positioned between her wrist and her elbow. I knew you could take it on the thigh but I had never heard on the forearm...anyone else ever do it this way? just wondering
    my lab teacher actually told us...that this was better then trying to hold it on the arm to do it. (which he saw a nurse doing to his mother's arm) Make sure you note that you didn't do it in the right spot but below the elbow. he mentioned that if the patient was too obese, try and use a thigh cuff.
  5. by   Rhonda V
    I just want to thank all of you who replied to my original post. Your advice and techniques will surely help me a lot, though I'll need to practice that palp thing I really appreciate this discussion group and all the wonderful advice I get from all you "expert" nurses out there. Sometimes I'm too embarrassed to ask co-workers certain questions, so I'm glad I have this forum. Thanks Again! Rhonda

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