Can't remember what this is called

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Specializes in LTC, Nursing Management, WCC.

Hello Peeps,

I was doing a BP on one of my ladies. Originally 210/160 but as the cuff continued to deflate I heard the beat again at 120. I can't remember what it is called when it does this. Diastolic notch??? And when charting, is it right to do 220/160-120 or is it 220/160/120. It has been a while since I learned this. When I called the MD I had to explain it because I couldn't remember the name for this.

Thanks

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Specializes in Utilization Management.

Good explanation and answer:

http://greenfield.fortunecity.com/rattler/46/bloodpressure.htm

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The article is a great resource for BP info. The pause you're talking about, the auscultory gap, is discussed close to the end. One way to be sure you're not being fooled by it is to inflate the cuff to the point that you occlude the radial pulse, then release the air, wait a few seconds for pressures to normalize, and then inflate the cuff 20-25 points above the palpated point of occlusion, and let 'er rip!

Hope this helps!!

Up Vote Up Vote ×
Specializes in LTC, Nursing Management, WCC.
The article is a great resource for BP info. The pause you're talking about, the auscultory gap, is discussed close to the end. One way to be sure you're not being fooled by it is to inflate the cuff to the point that you occlude the radial pulse, then release the air, wait a few seconds for pressures to normalize, and then inflate the cuff 20-25 points above the palpated point of occlusion, and let 'er rip!

Hope this helps!!

Many thanks!!

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