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Discussion

Taking BP on pt. with pacemaker

I've heard both sides, that it is NOT OK, and some say that it is. (I do not recall learning about this in school, although I do avoid the left arm if pt does have a pacemaker, I guess instinctively). Is it still evidence-based to restrict taking BP's on the left arm with a pacemaker on the left side? I cannot find anything online regarding this.. I want to know what nurses here have to say ;)

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I haven't had any problems using my left arm for BP. The device is n the left chest in a pocket where it floats and the leads are tapped into veins leading to the heart from there. There isn't anything in the arm that would be compressed by a cuff.

my dad has a pacemaker and always checks his own BP, no issues with it.

No issues that I know of. we do it where I work.

I've never had issues using the left arm either. We didn't avoid the left arm even when I worked on a cardiac unit.

Cat_LPN said:
I've heard both sides, that it is NOT OK, and some say that it is. (I do not recall learning about this in school, although I do avoid the left arm if pt does have a pacemaker, I guess instinctively). Is it still evidence-based to restrict taking BP's on the left arm with a pacemaker on the left side? I cannot find anything online regarding this.. I want to know what nurses here have to say ;)

Evidence-based? I don't think it ever has been an evidence-based precaution. There is nothing anywhere near the left arm to avoid.

When I worked cardiac, I only avoided the left arm if it was a fresh implant, simply because the left chest is already tender, and those automatic cuffs can squeeze like the dickens. Probably makes no difference, but I felt better.

Nothing taught a out that back in paramedic school either, and they are seriously into detailed cardiac-related issues.

I've never had a problem taking a blood pressure with someone who has a pacemaker. If it makes you feel more comfortable to do the other arm, then go for it. When I go into a patient's room I always make sure that there isn't a sign or something in the chart that specifically says do not take BPs, IVs, ect on this arm.

  • Author
roser13 said:
Evidence-based? I don't think it ever has been an evidence-based precaution. There is nothing anywhere near the left arm to avoid.

I didn't think so. I was just asking since 2 people I work with thought I was crazy for not having heard of it before. I was worried I'd missed something really important somehow! Guess it was never evidence based!

  • Author

I wonder where these nurses ever learned that now. Seems to me the consensus is 'no', that there is no known harm to do so. I honestly couldn't think of any myself, but that doesn't always mean anything since I'm a new nurse ;)

Virgo_RN said:
When I worked cardiac, I only avoided the left arm if it was a fresh implant, simply because the left chest is already tender, and those automatic cuffs can squeeze like the dickens. Probably makes no difference, but I felt better.

+1 and a couple more characters to reach the minimum message length

what P_RN said

since 82 no issues

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