Problem with taking Blood pressure. grr.


  • Specializes in Took care of my grandma with Hospice.

You are reading page 2 of Problem with taking Blood pressure. grr.

Starletta, CNA

109 Posts

Specializes in CNA. Has 2 years experience.

As CarolinaGirl said, follow a line from the pinkie finger. And you do have to press harder than you would with a Radial Pulse. Although, my Instructor said you may not always feel it. So, put your Stethoscope where the Brachial pulse should be and try taking the BP. You'll probably still be able to get the BP.

I practiced on my husband many times without actually locating the pulse, and was still able to get a BP reading. Of course, you have to be somewhat in the right area. :)

fuzzywuzzy, CNA

1,816 Posts

Specializes in LTC. Has 3 years experience.

I could never hear a thing in class, partly because it was noisy and mostly because the stethoscopes they gave us were lousy. Once I started working I was nervous about having to take manual BPs but the first time I did it, I had no problem. Once it "clicks" you can do it all the time, so keep practicing.


13 Posts

Use a automatic BP monitor, problem solved =p. Practice, practice practice.


4 Posts

Specializes in Took care of my grandma with Hospice.

i can find it easier with my fingers when i trail up from the pinky now.

&& haha i wish we could just use the automatic ones. but for state test purposes we cant. but i am told in most places now, they use the electronic ones. which will be good for me! lol

fuzzywuzzy, CNA

1,816 Posts

Specializes in LTC. Has 3 years experience.

... until you realize how slow the electronic ones are and how much faster it is if you do it yourself!

Poi Dog

1,134 Posts

Practice, practice, practice.

You will be fine and will eventually be able to take a blood pressure in your sleep.

xtxrn, ASN, RN

4,266 Posts

You also don't want the patient to be holding his arm off of some surface- if they are tensing their muscles, the BP can be falsely high. Don't go over 40mm/hg their usual BP...if you hear something immediately, then yes- you need to pump it up more.... IS there any way you can get a buddy to put an electronic BP cuff on you, and you listen at the same time, to see if you're hearing the same thing?

You'll get this :)

Also- if you get a really bad BP- either high or low- check it with a manual cuff. Machines do mess up :)


332 Posts

Someone told me before to tilt your chin down..I guess it is supossed to help you hear better.

CNA1991, CNA

170 Posts

Specializes in Geriatrics/home health care.

You are not the only one! When I was in my nursing assistant program, I literally had a nervous breakdown when I kept trying to do BP. What helped me was moving around the stethescope until I found a prime spot. Apply medium-light pressure, but don't press too hard or you will cut off the circulation and not be able to find it at all. I know they say to stick more to the middle forearm but it varies on a lot of people and it will usually not stay in one place. For me, most of the time I was able to find it right above the elbow. Try to focus on hearing the flow of blood first before trying to single in on beats, it will be much easier if you could locate the source and work from there. You'll get it eventually, just don't get frustrated and focus! Good luck!:nurse: