BP MONITORING IN ENGLISH

                                                     

                                          BP MONITORING IN ENGLISH

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          BLOOD PRESSURE MONITORING

          blood pressure (BP) is defined as the force of blood exerted against the arterial wall. It reflects the blood viscosity (thickness) and resistance of blood vessel.  To terms are used for blood pressure-

          Systolic and Diastolic

          Systolic blood pressure  is the highest arterial pressure when the heart contracts and pushes blood into arteries.

          Diastolic blood pressure is the lowest arterial pressure when the heart relaxes to fill with blood and not pumping blood into arteries.

          Different types of apparatus are used for blood pressure monitoring The most commonly used devices are:

          1. manual mercury sphygmomanometer, which measures blood pressure using mercury

          2. manual aneroid sphygmomanometer, which measures blood pressure using air

          3. electronic automated devices, which measure the sound of the blood as it passes through the artery, and then display the pressure on a monitor.

PREPARATION OF ARTICLES-

•        A tray containing-

•        BP apparatus

•        Stethoscope

•        Pen and BP chart

STEPS OF PROCEDURE

•        Explain procedure and ensure adequate understanding obtain client’s co-operation

•        Ensure client is positioned correctly lying or sitting. Blood pressure readings should be taken in the same position and on the same limb each time if possible.

•        Ensure correct-size cuff. Selection of correct cuff size is essential for accurate reading.

•        Apply the cuff 2.5 cm above the antecubital fossa with the client’s palm upwards, ensuring that the cuff is level with the sphygmomanometer and the client’s heart and tubing's should be at center portion of anticubital fossa

•        If you are using digital BP instruments than press start button. Cuff inflation will start and after completion of process result will flash on screen.

•        If you are using manual BP instruments than inflate the cuff with the help of bulb after placing stethoscope over the brachial artery.

•        Inflate the cuff again to approximately 20–30mmHg above the estimated systolic reading than start deflating the cuff slowly and listen the sound.

•        Note the first sound that you hear , this is systolic BP.

•        Note the point at which the sound disappears this is the diastolic BP

•        Deflate the cuff completely and remove from patient’s arm. Replace the articles and record the result in patient’s record.