BP TAKING PROCEDURES!! - "Have you had any coffee or smoked today?
Have
you drunk coffee, smoke, or done exercise within
Important Tips: Always follow the procedures
the past 30 minutes? How did you come here, did
sequentially. Ensure proper use of the
you walk,climb stairs ?"
stethoscope and handle all instruments with
care and precision." 6. Rest Period Before Taking BP:
1. Introduction: - "If you walked to the clinic, I suggest resting for at
least 5 minutes before starting the measurement."
- "Hi, good evening! My name is Maharaja, a 2nd-
year medical student from the clinical team. I am
here to assist you today."
7. Inspecting the Patient:
- "I will collect your details, and I assure you that
- "I will now inspect for any fistula or lymphedema,
your privacy will be maintained. Information will
and based on that, I will decide which arm to use
only be disclosed with your permission."
for the blood pressure measurement."
- "May I know your name, age, sex, occupation,
- *Inform your preceptor why you chose the arm you
address, and religion?"
selected for the procedure.*
2. Purpose of Visit:
8. Preparing the Patient:
- "What brings you here today?
- "Please remove any clothing from your arm to
avoid any interference with the blood pressure
measurement. "its better to do this while you
3. Explaining the Procedure and Getting Informed
inspect
Consent:
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- "I will explain the procedure for taking your blood
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pressure. I'll need to touch your arm and use
instruments for this, is that okay with For your understanding (not for the patient)
you?"(EXPLAIN CLEARLY)
To take blood pressure (BP) accurately, follow these
steps:
4. Preparing the Environment: https://youtu.be/HMSTSZVWhMI?si=2sFCIUem7m
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- "Do you feel comfortable in this room? Please let
me know if you'd like any adjustments to make you ### Preparation:
more relaxed."
1. Choose the right cuff size: Ensure the blood
pressure cuff fits appropriately. The wrong size can
give inaccurate readings.
5. Positioning the Patient:
2. Have the person rest: Ask the person to sit
- "Please sit comfortably, ensuring that your back is
comfortably for at least 5 minutes before
supported and your legs are uncrossed."
measuring BP.
3. Position the arm: The person should have their Ensure the person remains still and relaxed
arm supported at heart level (on a flat surface like a throughout the process for the most accurate
table), with their palm facing upward.,IF STANDING results.
USE YOUR LEG FOR SUPPORT
9. Procedure for Taking Blood Pressure:
4. Avoid caffeine, exercise, or smoking: Ensure the
- "Now, I will start the procedure. Please remain still
person has avoided these for at least 30 minutes
and avoid talking during the measurement." (No
before taking the BP.
verbal communication during the procedure)
- Inflate the cuff to the maximum (typically 30
### Procedure: mmHg above the point where you last felt the
pulse).
1. Apply the cuff: Wrap the cuff snugly around the
upper arm, about 1 inch above the elbow, making - Allow the patient to relax for 15-30 seconds before
sure it's not too tight. beginning the measurement.
2. Position the stethoscope: Place the earpieces in
your ears and position the diaphragm of the
10. Using the Stethoscope to Measure:
stethoscope over the brachial artery (just below the
cuff). - Use a stethoscope to listen to the brachial artery
while deflating the cuff.
3. Inflate the cuff: Close the valve on the bulb and
pump the cuff until the pressure reads about 30 - Carefully note the Korotkoff sounds to determine
mmHg higher than the expected systolic pressure systolic and diastolic pressure.
(usually around 180 mmHg if unsure).
4. Deflate the cuff slowly: Gradually release the air
11. Recording and Discussing the Result:
at a rate of about 2-3 mmHg per second.
- Once you have the final reading, disclose the
5. Listen for the sounds:
result to the patient.
- Systolic pressure: The first sound you hear
- "Your blood pressure is [systolic/diastolic]. Based
(Korotkoff phase I).
on this, if you have hypertension or hypotension,(
- Diastolic pressure: The point at which the sound YOU suggest further actions like dietary changes or
disappears (Korotkoff phase V). lifestyle modifications.")
6. Record the BP: Note the systolic and diastolic
pressures, such as "120/80 mmHg."
12. Closing the Session:
- "Did you feel comfortable during this session?"
### After the procedure: THANKYOU FOR YOUR CO-OPERATION.
1. Remove the cuff: Take the cuff off the arm gently - Offer any further advice or clarifications regarding
after you finish. their blood pressure and general health.
2. Take a second reading: For accuracy, take a
second reading after 1-2 minutes. If the readings
differ significantly, consider taking a third ---
measurement.
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