In-Depth Guide_ How to Check Your Blood Pressure With a Sphygmomanometer

7/27/2019 In-Depth Guide_ How to Check Your Blood Pressure With a Sphygmomanometer

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th Guide: How to Check Your Blood Pressure with a Sphygmomanometer

www.wikihow.com/Check-Your-Blood-Pressure-with-a-Sphygmomanometer[10/18/2014 7:56:42 PM]

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How to Check Your Blood Pressure

with a Sphygmomanometer

Three Parts: Sett ing Up the Equipment Taking the Blood Pressure Interpreting the Results

It's a good idea to have your blood pressure checked regularly. However, many unfortunate

people suffer from "white coat hypertension", a state of anxiety which causes their blood

pressure to skyrocket as soon as they are approached by a medical professional wearing a

dreaded stethoscope. Taking your own readings at home can eliminate this anxiety and allow

you to estimate your average blood pressure in day-to-day, real-life situations.

1

Ad

Sit down and open the blood pressure testing kit .Sit down at a table or desk

where you can easily set up the necessary equipment. Remove the cuff,stethoscope, pressure gauge, and bulb (also known as a "bladder") from the kit, taking

care to untangle the various tubes.

Blood Pressure MonitorSupplies Made to Order from World's Largest Supplier Base. TopDeals!

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Part 1 of 3: Setting Up the Equipment

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Raise your arm to heart level.Elevate your arm so that when you bend your

elbow, your elbow is parallel to your heart. This ensures that you will not get either

an overestimated or underestimated reading on your blood pressure. It is also important

that your arm is supported during the reading, so make sure to rest your elbow on a

stable surface.

Wrap the cuff around y our upper arm.Most cuffs have Velcro, making it easy to

secure the cuff in place. If your shirt has long or thick sleeves, roll them up first, as

you can only put the cuff over very thin clothing. The bottom edge of the cuff should be

about an inch above the elbow. [1]

Some experts recommend you use your left arm; others suggest you test both

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arms. But while you're first adjusting to self-testing, use the left arm if you're

right-handed, or vice versa.

Make sure the cuff is s nug, but not too tight.If the cuff is too loose, the cuff will

not cut off the artery correctly, giving you an inaccurately low blood pressure

reading. If the cuff is too tight, it will create what is known as "cuff hypertension" and give

you an inaccurately high reading.[2]

Place the wide head of the stethoscope on your arm.The head of the
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stethoscope (also known as the diaphragm) should be placed flat against the skin

on the inside of your arm. The edge of the diaphragm should be just beneath the cuff,

positioned over the brachial artery. Gently put the earpieces of the stethoscope in your

ears.

Do not hold the head of the stethoscope with your thumb - your thumb has its

own pulse and this will confuse you while you try to obtain a reading.

A good method is to hold the head of the stethoscope in place with your index

and middle fingers. This way, you should not hear a thumping sound until you

have begun to inflate the cuff.

Clip the pressure gauge to a stable surface.If the pressure gauge is clipped to

the cuff, unclip it and attach it to something sturdy instead, such as a hardcover

book. That way, you can place it in front of you on the table, making it easier to watch.

It's important to keep the gauge anchored and stable.

Make sure there is adequate light and you can see the needle and pressure

markings well before you begin to test.
http://www.wikihow.com/Image:Check-Your-Blood-Pressure-with-a-Sphygmomanometer-Step-6.jpg


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7 Take the rubber bulb and tighten the valve.The valve needs to be closedcompletely before you start. This will ensure that no air escapes as you pump,which would produce an inaccurate reading. Twist the valve clockwise, until you feel it

stop.

It is also important to avoid over-tightening the valve, otherwise you will open it

too far and release the air too quickly.

Part 2 of 3: Taking the Blood Pressure


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Inflate the cuff.Rapidly pump the bulb to inflate the cuff. Keep pumping until the

needle on the gauge reaches 180mmHg. The pressure from the cuff will occlude a

large artery in the bicep, temporarily cutting off blood flow. This is why the pressure from

the cuff can feel a little uncomfortable or strange.

Release the valve.Gently turn the valve on the bulb counter-clockwise, so that

the air in the cuff is released steadily, at a moderate pace. Keep an eye on the

gauge; for best accuracy, the needle should be moving downwards at a rate of 3mm per

second. [3]

Releasing the valve while you hold the stethoscope can be a little tricky. Try

releasing the valve with the hand on your cuff arm, while holding the


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stethoscope with your free arm.

Note your systolic blood pressure.As the pressure drops, use the stethoscope

to listen for a thumping or knocking sound. When you hear the first thump, make a

note of the pressure on the gauge. This is your systolic blood pressure.

The systolic number represents the pressure your blood flow exerts on the

walls of an artery after the heart beats or contracts. It is the higher number of

the two blood pressure readings, and when blood pressure is written down, it

appears at the top.[4]

The clinical name for the thumping sounds your hear is "Korotkoff sounds".


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4 Note your diastolic blood pressure.Keep watching the gauge, while using thestethoscope to listen to the thumping noises. Eventually the hard thumping noiseswill turn into a "whooshing" sound. It is helpful to note this change, as it indicates that

you are close to your diastolic blood pressure. As soon as the whooshing noise

subsides, and you hear only silence, make a note of the pressure on the gauge. This is

your diastolic blood pressure.

The diastolic number represents the pressure your blood flow exerts on the

walls of an artery when your heart relaxes between contractions. It is the lower

number of the two blood pressure readings, and when blood pressure is written

down, it appears at the bottom.


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Don't worry if you miss a reading.If you miss the exact measure of either

number, it's perfectly acceptable to pump the cuff back up a little to catch it.

Just don't do it too much (more than twice) as this can affect accuracy.

Alternatively, you can switch the cuff to the other arm and repeat the process

again.

Check your blood pressure again.Blood pressure fluctuates within minutes

(sometimes dramatically) so if you take two readings within about a ten-minute

period, you can come up with a more accurate average number.For the most accurate results, check your blood pressure a second time, five to

ten minutes after the first go.

It may also be a good idea to use your other arm for the second reading,

especially if your first reading was abnormal.

Part 3 of 3: Interpreting the Results


10/15



1 Understand what the readings mean.Once you have recorded your bloodpressure, it is important to know what the numbers mean. Use the following guidefor reference:

Normal blood pressure:Systolic number of less than 120 and diastolic

number of less than 80.

Prehypertension: Systolic number between 120 and 139, diastolic number

between 80 and 89.

Stage 1 Hypertension: Systolic number between 140 and 159, diastolic

number between 90 and 99.

Stage 2 Hypertension: Systolic number higher than 160 and diastolic number

higher than 100.

Hypertensive Crisis:Systolic number higher than 180 and diastolic number

higher than 110.[5]


11/15



2 Don't worry if your blood pressure is low.Even if your blood pressure readingsare far below the 120/80 "normal" mark, there is no cause for concern. A low bloodpressure reading of, say, 85/55 mmHg is still considered to be normal, as long as no

symptoms of low blood pressure are present.

However, if you are experiencing symptoms of dizziness, lightheadedness,

dehydration, nausea, blurred vision and/or fatigue, it is advisable that you see a

doctor as your low blood pressure may be the result of an underlying

condition. [6]

Know when to seek treatment.It's important to understand that a single high


12/15



3

Ad

reading does not necessarily mean that you have high blood pressure. It could be

the result of many factors.

If you take your blood pressure after exercising; after eating salty foods,

drinking coffee or smoking; or during a period of high stress, your blood

pressure might be uncharacteristically high. If the blood pressure cuff was too

loose or too tight on your arm or too large or too small for your size, the

readings could be inaccurate. As a result, you shouldn't worry too much about

one-off readings, especially if your blood pressure is back to normal the next

time you check it.

However, if your blood pressure is consistently at or higher than 140/90 mm Hg,

you may want to consult with a doctor who can put you on a treatment plan,

which usually involves a combination of healthy eating and exercise.

If you get a systolic reading of 180 or higher, or a diastolic reading of 110 or

higher, wait a few minutes then check your blood pressure again. If it is still at

that level, you need to contact emergency medical services immediately , as

you may be suffering from a hypertensive crisis.[5]

Stethoscope

pce-instruments.com/english

Order directly at thespecialist. A huge range ofmeasuring tools.

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Give this diary to your doctor at your next appointment. Your doctor may be able to

glean an important pattern or clue to your fluctuations in blood pressure.

Accept the fact that the first few times you try using a sphygmomanometer you'll likely

make some mistakes and become frustrated. It takes a few tries to get the hang of

this. Most kits come with instructions; be sure to read them.

We could really use your help!

Tips

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Get a Blood Test Stethoscope Hypertension with Music

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1. http://homepage.smc.edu/wissmann_paul/anatomy1/1bloodpressure.html

2. http://www.bhsoc.org/files/2913/3483/0659/ABC1_Sphyg.pdf

3. http://www.practicalclinicalskills.com/blood-pressure-measurement.aspx

4. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/SymptomsDiagnosi

sMonitoringofHighBloodPressure/How-High-Blood-Pressure-is-

Diagnosed_UCM_301873_Article.jsp

5. 5.05.1http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/AboutHighBlo

odPressure/Understanding-Blood-Pressure-Readings_UCM_301764_Article.jsp

6.

http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/AboutHighBloodPre

ssure/Low-Blood-Pressure_UCM_301785_Article.jsp

How to interpret blood pressure readings

What is high blood pressure

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Espaol: Cmo revisar tu presin arterial con un baumanmetro,Italiano: Come

Misurare la Pressione con uno Sfigmomanometro, Portugus: Como Aferir a Presso

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In-Depth Guide_ How to Check Your Blood Pressure With a Sphygmomanometer

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