11/13/24, 7\:06 PM Guide | Lying and standing blood pressure
Lying and standing blood pressure
Table of contents
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Gather equipment
Gather the relevant equipment for measuring lying and standing blood pressure\:
Stethoscope
Sphygmomanometer\: ensure you have an appropriately sized cu
Introduction
Wash your hands and don PPE if appropriate.
Introduce yourself to the patient, including your name and role.
Con
Brie
" T o d a y , I w o u l d l i k e t o m e a s u r e y o u r b l o o d
p r e s s u r e , b o t h w h e n y o u a r e l y i n g d o w n a n d w h e n y o u s t a n d u p . T h i s w i l l h e l p u s d e t e c t i f y o u r b l o o d p r e s s u r e d r o p s t o o l o w
w h e n y o u s t a n d . I w i l l
y o u r b l o o d p r e s s u r e a g a i n . P l e a s e l e t m e k n o w i f y o u e x p e r i e n c e a n y s y m p t o m s , s u c h a s d i z z i n e s s , l i g h t h e a d e d n e s s o r v i s u a l
d i s t u r b a n c e s . I f y o u w a n t m e t o s t o p a t a n y p o i n t , j u s t l e t m e k n o w .
"
Gain consent to proceed with lying and standing blood pressure measurement.
Ask the patient to lie on the examination couch for at least
Lying blood pressure
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Attach the blood pressure cu
1. Check that the blood pressure cu
2. Con
epicondyle of the humerus
3. Wrap the blood pressure cu
Wrap the blood pressure cu
Estimate an approximate systolic blood pressure
To begin with, you need to determine an approximate systolic blood pressure. This helps prevent over-tightening of the cu
during the accurate measurement of blood pressure.
1. Ensure the valve on the blood pressure cu
2. Palpate the patient’s radial pulse, located at the radial side of the wrist, with the tips of your index and middle
longitudinally over the course of the artery
3. In
sphygmomanometer at the point at which the radial pulse becomes impalpable. This reading is an approximate estimate of
the patient's systolic blood pressure.
4. Open the valve and de
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In
Measure the blood pressure accurately
Now that you have an approximate systolic pressure, you can accurately assess systolic and diastolic blood pressure.
1. Close the valve on the blood pressure cu
2. Position the diaphragm of your stethoscope over the brachial artery
3. Re-in
4. Then slowly de
5. Using your stethoscope, listen carefully for the onset of a pulsatile noise. The
pressure.
6. Continue de
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Position the stethoscope over the brachial artery
Standing blood pressure
1. Ask the patient to stand and inform you if they experience any symptoms (e.g. dizziness, light-headedness, visual
disturbance)
2. Measure the blood pressure within the
technique as before
3. Measure the blood pressure after three minutes of standing
4. If blood pressure is dropping, continue to repeat the blood pressure measurements
5. Remove the blood pressure cu
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