need help with blood pressure

  1. 0 I have successfully completed my first week of nursing school! It is A LOT of work and I have never been so stressed out in my life. After a day of classes I am completely drained and it is really hard for me to try and do my work without falling asleep but so far I have been good with staying on top of things.

    Anyway, I'm a little confused with blood pressure. My instructor had us obtain a "baseline" on each other that way when we are tested we know what to pump up to. Do you ALWAYS have to find a "baseline" or is there a number that you can always pump up to in order to get an accurate reading? One of my classmates (who thinks she knows everything) was telling me to simply pump to 200mmHg if you don't want to obtain a baseline and it irritates me because she is already telling me what to do - she isn't my instructor! Pumping to 200mmHg seems a little far-fetched to me. In LRC on Thursday I found out that my baseline is 110 (my partner's is the same too) so she told us to pump to 140mmHg to get an accurate reading - but seriously if someone pumped past 140mmHg on me, my arm would seriously begin to hurt and from 140 to 200mmHg, that's quite a difference in pressure in my opinion.

    Also does anybody know of a website where I can practice reading blood pressure?

    Thank you everyone and sorry for this ridiculous question!
  2. Tags
    Visit  shrimpchips profile page

    About shrimpchips

    From 'Ohio'; 27 Years Old; Joined Aug '06; Posts: 661; Likes: 197.

    18 Comments so far...

  3. Visit  Daytonite profile page
    4
    here you go:
  4. Visit  shrimpchips profile page
    0
    Thank you very much Daytonite!
  5. Visit  Daytonite profile page
    1
    here's one more link to a nursing procedure manual (no photos or pictures):
    shrimpchips likes this.
  6. Visit  Daytonite profile page
    2
    Just found this terrific video of how to take a blood pressure. It's the first link on the page. Includes sound.
    And more:
    Maeva002 and shrimpchips like this.
  7. Visit  Chelsey19 profile page
    0
    You dont need to get a baseline if someone has had similar BP readings in the past...(say if they have been to the doctor for checkups and its 120/78 and the reading has been similar to that a couple times) Then you would pump up the cuff to 150mmHg. The 200mmHg is kind of extreme and I wouldnt listen to that girl just go with what your instructors say... They usually have been around long enough in the nursing profession that they would be the ones to ask if you are unsure..
  8. Visit  Bortaz, RN profile page
    0
    In all my years as a patient (20 years on antihypertensives) I have never once had a nurse or doctor do a baseline. All the do is crank it up to whatever...170, 180, 200...and then let out the air.

    When I told my skills instructor this story, her response was "maybe, but those nurses and doctors aren't grading your skills checkoffs."

    Message received.
  9. Visit  znov11 profile page
    0
    I think you need to preliminarily palpate the brachial artery as you pump the cuff, then when the pulsation fades or disappears, add at least 10 or maybe 20 mmhg, then release. That prelimnary reading will be your baseline. That's what I learned in my return demo. ^^
  10. Visit  JHansen profile page
    0
    all new pts I go to 180, then after a few bp's i pump too 20 or so above their norm. I find that if you always go to high pressures your pts tend to stress sometimes when you go to take their bp which raises their bp(not something you want)
  11. Visit  Slimlady727 profile page
    0
    Quote from znov11
    I think you need to preliminarily palpate the brachial artery as you pump the cuff, then when the pulsation fades or disappears, add at least 10 or maybe 20 mmhg, then release. That prelimnary reading will be your baseline. That's what I learned in my return demo. ^^

    We were told to palpate the radial pulse when trying to find the baseline. Once the pulse fades we go 30mmHG above the number of what was shown.
  12. Visit  Kellacan profile page
    0
    We were told to palpate the radial pulse when trying to find the baseline. Once the pulse fades we go 30mmHG above the number of what was shown.

    :yeahthat:
    We were told this as well and this is what I did on my skills check off.
  13. Visit  znov11 profile page
    0
    I think the radial pulse disappears when the brachial pulse disappears, either ways, we can conclude that the artery has been successfully occluded. 30mmHg will also do. ^^
  14. Visit  lonestar88 profile page
    0
    I'm having a lot of trouble with my blood pressure skills too...
    I can't tell when I hear the systolic sound. Is the sound VERY distinctive and loud? or is it when you first feel like you hear a faint sound?

    I can't tell if what I hear first is a muffling sound from not being completely still or if it's actually the systolic. It's driving me crazy.

    I also know that it helps to look when the points start to bounce a little because that indicates when the systolic starts, but I don't hear anything until about 20 lower. I'm using the llittmann master cardiology steth so it makes me feel like even more of a failure since that's supposed to be one of the easiest to hear with. AHHHHHHHHHHHHHHHHHHHHHH!
    Last edit by lonestar88 on Sep 11, '08


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