Taking an accurate manual blood pressure . HELP

  1. Can someone please help me, I need to get an accurte blood pressure reading, I should be getting my systolic pressure reading from the very first pulse that I hear and the diastolic on the very last pulse heard . However when I am working with an instructor we dont get the same reading at when we are both listening at the same time . This has happened 2 times now and I am frustrated and afraid I will fail .
    any tips or thoughts?
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  2. 4 Comments

  3. by   Daytonite
    make sure you are letting the air out of the cuff slowly.

    http://homepage.smc.edu/wissmann_pau...dpressure.html - how to take a blood pressure

    http://medicine.osu.edu/exam/ - from ohio state university college of medicine, an interactive guide to physical examination for 8 body systems and includes sounds. has an interactive blood pressure cuff (the link is toward the bottom of the page, "take a blood pressure") where you click on a blood pressure bulb to start the inflation of the cuff. you will then hear and watch the manometer and tell the program what the final blood pressure is. it re-cycles to give you lots of practice!

    http://nursing.about.com/od/assessme...odpressure.htm - how to take a blood pressure

    http://www.ktl.fi/publications/ehrm/.../part_iii3.htm - blood pressure measurement where peak inflation level is determined first by palpating a radial pulse, inflating cuff and then determining the point at which the pulse is obliterated.

    http://www.sweethaven.com/free-ed/he...&icode=fra0204 - taking and monitoring vital signs. from sweethaven's health care.

    http://allnurses.com/forums/f50/hearing-bps-177877.html - hearing bps

    http://medinfo.ufl.edu/other/opeta/ - videos of physical examination procedures from the university of florida - there is a video on how to do vital signs, including the blood pressure, here.

    http://www.med-ed.virginia.edu/courses/pom1/videos/index.cfm - videos of physical examination procedures from the university of virginia. there is a link to doing vital signs here as well.
  4. by   athena55
    Hello 2ac.
    My goodness, your post brought back many memories of mine from nursing school, waaaay back in the day.
    Okay, first: please try to take a deep breath. What I would suggest you do is: Ask your patient some questions. Do you have a history of high blood pressure? Do you remember what your last BP was?
    Make sure you have selected the correct cuff for your patients arm.
    If your patient denies a Hx of HTN, then maybe you could pump the BP cuff up to, say 14o mm Hg.
    Have you tried asking your nursing instructor/professor for assistance/help? Contrary to popular belief/opinion, many nursing professors/instructors don't bite (well, maybe not in the beginning, smile)
    Here is a website that might be of help to you. Please, I am in no way suggesting that your approach is the wrong way to take a BP. Just trying to help a fellow nurse
    http://www.uams.edu/csc/programs/ori...odPressure.htm
    I guess what I am trying to say is....Some things take a bit more practice than others.
    Let us know how it all works out for you.
    Respectfully,
    athena
  5. by   athena55
    Wow DaytoNite:
    Cool website, the interactive one! (from Ohio State University). That's a keeper!
    Thank you!
    athena
  6. by   solumedrol
    Thanks for the links DaytoNite! I'm gonna learn alot of stuff from those links..

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